Tracy Nicole Wilcox, PTA, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 2689 Issued in FL

Practice address

14564 Harewood CT
Jacksonville, FL 32258-1718

Phone

(904) 307-9514

NPI assigned

Mar 12, 2007

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1275665283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14564 HAREWOOD CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14564 HAREWOOD CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581718",
            "telephone_number": "904-307-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "TRACY",
        "middle_name": "NICOLE",
        "credential": "PTA, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "PTA23153",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 2689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Wilburn, CRNA
• Abigail Wilcox, MSN, CPNP-PC
• Chandler Curtis Wilcox, MD
• Jennell Wilcox, COTA
• Kenyannya Wilcox
• Victoria Garten Wilcox, LMHC
• Jerry Elliott Wilcoxon, MACCCSLP
• Vanessa Jaclyn Wilczak, D.C.
• Steven Edward Wildasin, CRNA
• Nicholas Emil Wilde, MD

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.