Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Iannicca, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1245455666

David Iannicca, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Surprise, Arizona. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

15946 N Bullard Ave
Surprise, AZ 85374-8844
Phone: (816) 277-2954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 0126000756 (VA)

Record details

NPI number1245455666
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 13, 2007
Last updated in NPPESJuly 8, 2007

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