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Active NPI 1407370729 Individual Practitioner Male Practitioner

Philip Ray Nickols

Specialist/Technologist - Athletic Trainer • Macomb, IL

Professional Overview & Biography Verified Profile Summary

Philip Nickols is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Macomb, IL. Practice services are available at 1 UNIVERSITY CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 University Cir

Macomb, IL 61455

Telephone 3092982138
Associated Practice Facility / Clinic
🏢 Beu Health Center Pharmacy Facility NPI 1750400297

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Macomb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Macomb, IL (1955 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IL 096.003810

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Leah Shapiro

Developmental Therapist

NPI 1023324464
Bonnie Bartlett , APN

Nurse Practitioner - Pediatrics

NPI 1043367295

Advanced Practice Nurse

Sabreen Dassa

Developmental Therapist

NPI 1073964086
Sara Ryan

Developmental Therapist

NPI 1124846233
Renee Polubinsky , ATC, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1134193691

Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Kathleen Kenney , LCSW, CADC

Social Worker - Clinical

NPI 1144589706

Licensed Clinical Social Worker, Certified Alcohol and Drug Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2017

Registered at 1 UNIVERSITY CIR, MACOMB, IL 61455 (Tel: (309) 298-2138)

📍
Updated Business Mailing Address July 28, 2017

Registered at 1 UNIVERSITY CIR, MACOMB, IL 614551367 (Tel: 3092982138)

👤
Provider Name / Credentials Updated July 28, 2017

Recorded as PHILIP NICKOLS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2017

Specialist/Technologist (License #096.003810 in IL)

🟢
Initial NPI Registration & Enumeration July 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407370729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1 University Cir

Macomb, IL 614551367

Phone: 3092982138

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.