Tad Nickerson, ATC
NPI 1336498369 · Athletic Trainer · Virginia Beach, VA
Tad Nickerson, ATC is a Athletic Trainer provider in Virginia Beach, VA (NPI 1336498369).
Provider details
- NPI number
- 1336498369
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0126000247 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-06
- Last updated
- 2012-09-06
Frequently asked questions
- What is Tad Nickerson's NPI number?
- Tad Nickerson's National Provider Identifier (NPI) is 1336498369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tad Nickerson's specialty?
- Tad Nickerson is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Tad Nickerson located?
- Tad Nickerson's practice location on file with NPPES is 1096 Oakton Mews, Virginia Beach, VA 23464-5355.
- What is Tad Nickerson's phone number?
- The practice phone number listed in the NPPES registry for Tad Nickerson is (757) 581-8112.
- Is Tad Nickerson's NPI active?
- Yes — Tad Nickerson's NPI (1336498369) is active in the NPPES registry as of the last update on 2012-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.