Individual provider · Type 1 NPI

Brian J. Nickerson, ATC

Athletic Trainer · Orlando, FL

NPI number 1295761930 Active

Practice location

100 W Gore St, Suite 204
Orlando, FL 32806-1044

Fax (407) 835-8878

Mailing address

130 Avery Lake Dr
Winter Springs, FL 32708-5191

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XAL 96 (FL)

Athletic Trainer: 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 advanc…

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About NPI 1295761930

Brian J. Nickerson, ATC's National Provider Identifier is 1295761930, issued on Jun 24, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Orlando, FL. The record was last updated on Jul 13, 2026.