TIMOTHY STEVEN NICOLELLO ATC
NPI 1831475284
Specialist/Technologist - Athletic Trainer in Boise, ID

Active since October 31, 2011
1109 W MYRTLE ST, SUITE 200, BOISE, ID 83702(208) 874-3449 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About TIMOTHY NICOLELLO

This page provides the complete NPI Profile along with additional information for Timothy Nicolello, a provider established in Boise, Idaho with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1831475284 assigned on October 2011. The practitioner's primary taxonomy code is 2255A2300X with license number 400 (ID). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1831475284 Verify this NPI
Provider Name
TIMOTHY STEVEN NICOLELLO ATC
Gender
Male
Entity Type
Individual
Location Address
1109 W MYRTLE ST SUITE 200 BOISE, ID 83702
Location Phone
(208) 874-3449
Mailing Address
14078 W BUNKERHILL ST BOISE, ID 83713
Mailing Phone
(208) 874-3449
Is Sole Proprietor?
No
Enumeration Date
10-31-2011
Last Update Date
04-02-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
400
License State
ID
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1246Z00000XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Other

(ID)

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Family Medicine (Sports Medicine)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Family Medicine (Sports Medicine)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Physical Therapist (Orthopedic)
1109 W MYRTLE ST
BOISE, ID 83702
Physical Therapist
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Physical Therapist (Sports)
1109 W MYRTLE ST
BOISE, ID 83702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831475284, enumerated as an "individual" on October 31, 2011.

The provider is located at 1109 W MYRTLE ST SUITE 200 BOISE, ID 83702 and the phone number is (208) 874-3449.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.