MR. NICHOLAS RAY TJEERDSMA ATC
NPI 1912348210
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Q: What is Nicholas Tjeerdsma's NPI number?

The NPI number for Nicholas Tjeerdsma is 1912348210. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Q: What is Nicholas Tjeerdsma's specialty?

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

Active since July 15, 2013

3946 ICE WAY, FORT WAYNE, IN 46808(319) 939-7102 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Nicholas Ray Tjeerdsma Atc NPPES

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

MR. NICHOLAS RAY TJEERDSMA ATC (NPI 1912348210) is an individual athletic trainer provider in Fort Wayne, Indiana and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1912348210

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. NICHOLAS RAY TJEERDSMACredential: ATC

Location Address3946 ICE WAYFort Wayne, IN 46808-1735

Mailing Address3946 Ice WayFort Wayne, IN 46808 · (319) 939-7102

Phone(319) 939-7102

Sole ProprietorNo

Enumeration DateJuly 15, 2013

Last NPPES UpdateJanuary 5, 2018

✔ NPI 1912348210 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

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.

3946 ICE WAY, Fort Wayne, IN 46808

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Other Providers at the Same Location NPPES 15

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

ASHLEY EMERSON LAT, ATC

Specialist/Technologist (Athletic Trainer)