NICHOLAS ANTONELLI ATC
NPI 1780044776
Specialist/Technologist - Athletic Trainer in Fort Bragg, NC

Active since March 03, 2016
2817 REILLY RD, WAMC CREDENTIALING, FORT BRAGG, NC 28310(517) 896-0261 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2022, Mar 3, 2016 (2 updates tracked since 2016).

About Nicholas Antonelli Atc NPPES

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

NICHOLAS ANTONELLI ATC (NPI 1780044776) is an individual athletic trainer provider in Fort Bragg, North Carolina, licensed in Indiana (36002358A) and active in the NPI registry since March 2016. He maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1780044776
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameNICHOLAS ANTONELLICredential: ATC
Location Address2817 REILLY RD, WAMC CREDENTIALINGFort Bragg, NC 28310
Mailing Address2817 Reilly StFort Bragg, NC 28310-7324
Sole ProprietorNo
Enumeration DateMarch 3, 2016
Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
NPI 1780044776 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 IN · 36002358A
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.
2817 REILLY RD, Fort Bragg, NC 28310

Secondary Practice Location 1

Location 111130 Parkview Circle DrFort Wayne, IN 46845-1735 · Phone (260) 266-4007

Other Providers at the Same Location NPPES 20

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

Physician Assistant
2817 REILLY RD, WAMCAK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Physical Therapist (Orthopedic)
2817 REILLY RD
FORT BRAGG, NC 28310
Physician Assistant
2817 REILLY RD, FORT BRAGG, NC 28310
APO, AA 28310
Emergency Medicine
2817 REILLY RD, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Counselor (Addiction (Substance Use Disorder))
2817 REILLY RD, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Pediatrics (Neonatal-Perinatal Medicine)
2817 REILLY RD
FORT BRAGG, NC 28310
Specialist/Technologist (Athletic Trainer)
2817 REILLY RD
FORT BRAGG, NC 28310
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2817 REILLY RD, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310

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 Antonelli's NPI number?

The NPI number for Nicholas Antonelli is 1780044776. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Nicholas Antonelli located?

Nicholas Antonelli practices at 2817 Reilly Rd Wamc Credentialing, Fort Bragg, NC 28310. The listed phone number is (517) 896-0261.

What is Nicholas Antonelli'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 Antonelli was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.