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

Mr. Leroy J Nickie

Individual provider Clinical Exercise Physiologist · NPI 1598043507

Mr. Leroy J Nickie is a Clinical Exercise Physiologist in Clinton, Maryland. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

7018 Wade Ave
Clinton, MD 20735-2741 Not confirmed with CMS for 14 years — call before visiting
Phone: (301) 877-7085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Exercise Physiologist (primary) Taxonomy 224Y00000X

Record details

NPI number1598043507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2011
Last updated in NPPESOctober 6, 2011