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

Nicole Phegley, MS, LAT, OTC

Individual provider Other Technician · NPI 1750779310

Nicole Phegley, MS, LAT, OTC is an Other Technician in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

621 Science Dr
Madison, WI 53711-1074
Phone: (908) 752-0592
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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 1619 (WI)
Other Technician Taxonomy 247200000X · Licence 14-1116 (WI)

Record details

NPI number1750779310
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , OTC
Sole proprietorNo
NPI enumeratedJanuary 6, 2015
Last updated in NPPESFebruary 17, 2015

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