Nicole Siegel Bulow, PT, DPT, CFMT, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

0011037 Issued in CO

Practice address

4839 S Brandon St
Seattle, WA 98118-2359

Phone

(415) 264-0191

NPI assigned

Apr 28, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nicole Samantha Siegel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Solfuel LLC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1265961957
  NPD Authorized official
• Sports Physical Therapy Institute,PA

  • Physical Therapist
  • Flemington, NJ
  • NPI 1952471112

  Orthopedic

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1003133232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4839 S BRANDON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182359",
            "telephone_number": "415-264-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4839 S BRANDON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182359",
            "telephone_number": "415-264-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 Bellevue Ave E",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981024708",
            "country_code": "US",
            "telephone_number": "415-264-0191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULOW",
        "first_name": "NICOLE",
        "middle_name": "SIEGEL",
        "credential": "PT, DPT, CFMT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "0011037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SIEGEL",
            "middle_name": "SAMANTHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Davis Thomas Donald Bullock
• Justin Lamont Bullock, MD, MPH
• Talitha Bullock, MA,LMHC
• Hannah Bulosan
• John-Paul B Bulow, LMP
• Ilknur Bulut-Genceren, PT
• Amanda Bumagny
• Anne Bumgarner, LMT
• Janice Bumgarner, LMT
• Angeleana Bumpas, LMP

• Orthopedic Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.