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MR. NICHOLAS SHEA CLARK MS, ATC
NPI 1548077597
Specialist/Technologist - Athletic Trainer in Albany, NY

Active since December 13, 2024
1400 WASHINGTON AVE, ALBANY, NY 12222(518) 429-7113 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Dec 13, 2024 (2 updates tracked since 2024).

About Mr. Nicholas Shea Clark Ms, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NICHOLAS SHEA CLARK MS, ATC (NPI 1548077597) is an individual athletic trainer provider in Albany, New York, licensed in New York (003852) and active in the NPI registry since December 2024. He maintains a secondary practice location in Green Island.

NPPES Registry Identity

NPI1548077597
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. NICHOLAS SHEA CLARKCredential: MS, ATC
Location Address1400 WASHINGTON AVEAlbany, NY 12222-0100
Mailing Address61 Hudson Ave Apt 1Green Island, NY 12183-1171 · (518) 429-7113
Phone(518) 429-7113
Sole ProprietorYes
Enumeration DateDecember 13, 2024
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1548077597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in NY · 003852
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1400 WASHINGTON AVE, Albany, NY 12222
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Secondary Practice Location 1

Location 161 Hudson Ave Apt 1Green Island, NY 12183-1171 · Phone (518) 429-7113

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DORIS MARGUERITE WALKER NP
Nurse Practitioner (Family)
1400 WASHINGTON AVE
ALBANY, NY 12222
Albany County (518) 442-5306
DR. PETER ALEXANDER VELLIS D.O.
Family Medicine
1400 WASHINGTON AVE
ALBANY, NY 12222
Albany County (518) 442-5461
CHRISTINE ELIZABETH MCGOVERN RPA-C
Physician Assistant (Medical)
1400 WASHINGTON AVE, UNIVERSITY HEALTH CENTER
ALBANY, NY 12222
Albany County (518) 442-5454
GWENDOLYN SMITH LAT, ATC
Specialist/Technologist (Athletic Trainer)
1400 WASHINGTON AVE
ALBANY, NY 12222
Albany County (518) 442-3725
MS. SARA B FRIEDMAN P.A.
Physician Assistant (Medical)
1400 WASHINGTON AVE, STUDENT HEALTH CENTER
ALBANY, NY 12222
Albany County (518) 442-5455
REBECCA SANGER ATC
Specialist/Technologist (Athletic Trainer)
1400 WASHINGTON AVE
ALBANY, NY 12222
Albany County (518) 591-8532
KYLE LESSARD
Specialist/Technologist (Athletic Trainer)
1400 WASHINGTON AVE
ALBANY, NY 12222
Albany County (518) 242-1924
MARY KATE HEDDERMAN MS ATC
Specialist/Technologist (Athletic Trainer)
1400 WASHINGTON AVE
ALBANY, NY 12222
Albany County (518) 591-8532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Clark's NPI number?

The NPI number for Nicholas Clark is 1548077597. It was assigned to this individual provider in the NPPES registry on December 13, 2024.

Where is Nicholas Clark located?

Nicholas Clark practices at 1400 Washington Ave, Albany, NY 12222. The listed phone number is (518) 429-7113.

What is Nicholas Clark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Nicholas Clark was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.