Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Ryan Beasley, ATC, CSCS, CES

Individual provider Athletic Trainer · NPI 1013404342

Nicholas Ryan Beasley, ATC, CSCS, CES is an Athletic Trainer in Moore, Oklahoma. Licensed in Colorado. Registered with an NPI since 2018.

Licensed in
CO
In the registry since
2018
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3701 S I 35 Service Rd
Moore, OK 73160-3183
Phone: (405) 912-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000017666 (CO)

Record details

NPI number1013404342
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , CSCS , CES
Sole proprietorNo
NPI enumeratedApril 23, 2018
Last updated in NPPESApril 23, 2018
Mailing address3720 S Telephone Rd, Moore, OK 73160-2914

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