In the fitness industry, the four international certifications often mentioned refer to four institutions in the United States:
NSCA National Fitness Association
ACSM American Sports Medicine Association
ACE American sports commission
NASM national college of sports medicine
CPT (Certified Personal Trainer) Certified Personal Trainer is a professional personal trainer certificate issued by the National Sports Medicine Association (NASM), which represents the world-class fitness personal training level.
NASM has 1 NCCA certificates.