Nicholas Wyatt Beightol
Individual provider Active NPI Athletic Trainer · Clarion, PA
NPI 1245912583 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1245912583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT008600 (PA)
- Practice address
- 14 Fairview Ave
Clarion, PA 16214-8816 - Phone
- (814) 319-3776
- NPI assigned
- Aug 4, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT008600 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT008600 | PA | Yes |
Addresses
Primary practice location
14 Fairview Ave
Clarion, PA 16214-8816
Mailing address
14 Fairview Ave
Clarion, PA 16214-8816
Other practice location 1
14 Fairview Ave
Clarion, PA 16214-8816
Other providers in Clarion, PA
- Emily Kay Beary
- Jonathan Robert Beaton
- Alicia Becker
- Makenzie M Beels
- Alexandra Beers
- Billy L Bobbert
- Susan Lynn Bobosky
- Daniel B Bolton
- Susan P Bornak
- Kelly L Boyer
All providers in Clarion, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.