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

Mr. Jason Phillip Nussbaum, MS, ATC

Individual provider Athletic Trainer · NPI 1013157452

Mr. Jason Phillip Nussbaum, MS, ATC is an Athletic Trainer in Blythewood, South Carolina. Licensed in South Carolina. Registered with an NPI since 2009.

Licensed in
SC
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

180 Turkey Farm Rd
Blythewood, SC 29016-9699
Phone: (803) 381-0168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 858 (SC)

Record details

NPI number1013157452
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedFebruary 25, 2009
Last updated in NPPESDecember 23, 2014

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