Nicole Marie Anderson, PT, DPT, NCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209126 Issued in VA

Practice address

8191 Staples Mill Rd
Henrico, VA 23228-2751

Phone

(804) 523-2653

NPI assigned

Nov 9, 2022

Last updated

Nov 9, 2022By the provider in NPPES

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 identifiers 2

Other names 1

• Nicole Marie Brownyard Former name

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Fox Rehabilitation Services LLCGroup PAC ID 1355347410, 304 clinicians

Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

Lawrence Rehabilitation Specialists IncGroup PAC ID 8628172269, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.74 of 100Reported as group

Quality

80.92

Improvement activities

40

Cost

77.9

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755

  DC

  Medicare reassignment Care Compare group NPD
• Lawrence Rehabilitation Specialists , Inc

  dba Lawrence Rehabilitation - The Gait Center

  • Rehabilitation Clinic/Center
  • Richmond, VA
  • NPI 1558444513

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Virginia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1235720848

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1043928930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 PARK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232211127",
            "telephone_number": "717-580-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 STAPLES MILL RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282751",
            "telephone_number": "804-523-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHYSICAL THERAPY",
            "identifier": "2305209126",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEUROLOGIC CERTIFIED SPECIALIST",
            "identifier": "NE200038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BROWNYARD",
            "middle_name": "MARIE",
            "credential": "PT, DPT, NCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amor and Wellness LLC
• Akayla Anderson
• Johnzelle Jeffrey Anderson, LPC
• Kathryn Leigh Anderson, FNP, RN
• Keesha Lawanda Anderson, M.ED., LPC
• Andrea M Stern, Psy.D., LCP, PLLC
• Andrew Napoli Wellness Services
• Hunter James Andrews, PT, DPT
• Angel of Mine Home Health LLC
• Angela Revercomb LPC LLC

• Physical Therapist in Henrico, VA
• Providers in Henrico, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.