Individual provider · Type 1 NPI

Nicholas M. Annesi, LAT

Athletic Trainer · Spencer, NY

NPI number 1336090109 Active

Practice location

16 Dartts Cross Road
Spencer, NY 13760

Mailing address

491 Reynolds Rd
Johnson City, NY 13790-1369

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X005054 (NY)

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…

About NPI 1336090109

Nicholas M. Annesi, LAT's National Provider Identifier is 1336090109, issued on Feb 6, 2026. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Spencer, NY. The record was last updated on Feb 6, 2026.