Brooklyn Nichole Risser
Specialist/Technologist, Athletic Trainer in Downingtown, PA. Individual provider (NPI-1).
NPI number1780186221
StatusActive
Last updated in NPPESMar 1, 2018
Details
- NPI
- 1780186221
- Entity type
- Individual (NPI-1)
- Name
- Brooklyn Nichole Risser
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2018
- Last updated
- Mar 1, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | PA | Yes |
Practice location
252 Park DriveDowningtown, PA 19335
Phone 717-875-2785
Mailing address
252 Park DriveDowningtown, PA 19335
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Athletic Trainer providers in Downingtown · All 788 providers in Downingtown
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