Active NPI
Laura Nickles, P.T.
- Physical Therapist
- Chapel Hill, NC
National Provider Identifier
1023564549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16580
- Practice address
- 100 Sprunt St
Unc Therapy Services at Unc Wellness Center
Chapel Hill, NC 27517-7811 - Phone
- (984) 974-5300
- Fax
- (984) 974-5305
- NPI assigned
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16580 | NC | Primary |
Addresses
Primary practice location
100 Sprunt St
Unc Therapy Services at Unc Wellness Center
Chapel Hill, NC 27517-7811
Mailing address
100 Sprunt St
Unc Therapy Services at Unc Wellness Center
Chapel Hill, NC 27517-7811
Phone (984) 974-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16580 | NC | MD | Pharmacist |
Interoperability endpoints
- lnickles187335@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1023564549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SPRUNT ST",
"address_2": "UNC THERAPY SERVICES AT UNC WELLNESS CENTER",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275177811",
"telephone_number": "984-974-5300",
"fax_number": "984-974-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SPRUNT ST",
"address_2": "UNC THERAPY SERVICES AT UNC WELLNESS CENTER",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275177811",
"telephone_number": "984-974-5300",
"fax_number": "984-974-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKLES",
"first_name": "LAURA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "16580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.