NICHOLAS DEPHILLIPO ST, SA
NPI 1992113534
Specialist/Technologist - Athletic Trainer in Eagan, MN

Q: What is Nicholas Dephillipo's NPI number?

The NPI number for Nicholas Dephillipo is 1992113534. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Q: What is Nicholas Dephillipo's specialty?

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

Active since July 28, 2014

2700 VIKINGS CIR, EAGAN, MN 55121(952) 456-7600 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Nicholas Dephillipo St, Sa NPPES

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

NICHOLAS DEPHILLIPO ST, SA (NPI 1992113534) is an individual athletic trainer provider in Eagan, Minnesota, licensed in Minnesota (3236) and active in the NPI registry since July 2014. He maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1992113534

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameNICHOLAS DEPHILLIPOCredential: ST, SA

Location Address2700 VIKINGS CIREagan, MN 55121

Mailing Address4200 Dahlberg Dr Ste 300Golden Valley, MN 55422-4841 · (763) 520-7870

Phone(952) 456-7600

Sole ProprietorNo

Enumeration DateJuly 28, 2014

Last NPPES UpdateJune 5, 2019

✔ NPI 1992113534 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 MN · 3236

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.

2700 VIKINGS CIR, Eagan, MN 55121

Open in Google Maps ↗

Secondary Practice Location 1

Location 11909 Ala Wai Blvd Apt 1006Honolulu, HI 96815-1804 · Phone (609) 287-2532

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.

STEPHANIE ANNE HAM DPT

Physical Therapist