Active NPI
Leslie Nichole Nice, PT, DPT
- Physical Therapist
- Little Rock, AR
National Provider Identifier
1053694315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3527
- Practice address
- 10301 Kanis Rd
Little Rock, AR 72205-6205 - Phone
- (501) 604-4170
- Fax
- (501) 604-3223
- NPI assigned
- Sep 23, 2011
- Last updated
- Oct 30, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13247 | NC | |
| Physical Therapist | 225100000X | 3527 | AR | Primary |
Addresses
Primary practice location
10301 Kanis Rd
Little Rock, AR 72205-6205
Mailing address
10301 Kanis Rd
Little Rock, AR 72205-6205
Phone (501) 604-4170
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 |
|---|---|---|---|
| 13247 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1053694315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056205",
"telephone_number": "501-604-4170",
"fax_number": "501-604-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056205",
"telephone_number": "501-604-4170",
"fax_number": "501-604-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICE",
"first_name": "LESLIE",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "13247",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "3527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.