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
Show map & directions

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
Mailing address920 Center Rd, Eastlake, OH 44095-2332

Other providers in Surprise