Nikao Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NIKAO PHYSICAL THERAPY, PLLC

Practice address

2121 S Mill Ave Ste 209
Tempe, AZ 85282-2136

Phone

(480) 524-0321

Fax

(480) 420-4139

NPI assigned

Apr 5, 2023

Last updated

Jun 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Gulledge, PTNPI 1114327160

Title

Managing Member

Phone

(480) 524-0321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Hanson, DPT

  • Physical Therapist
  • Chandler, AZ
  • NPI 1881275634
  Medicare reassignment NPD
• Amy Gulledge, PT, DPT, CSCS

  • Orthopedic Physical Therapist
  • Tempe, AZ
  • NPI 1114327160
  NPD Authorized official
• Cole C Humphries, DPT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1770399578
  Medicare reassignment
• Anny Gonzalez Gimbel, DPT

  • Physical Therapist
  • Tempe, AZ
  • NPI 1649571803
  NPD

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1063107118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S MILL AVE STE 209",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822136",
            "telephone_number": "480-524-0321",
            "fax_number": "480-420-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S MILL AVE STE 209",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822136",
            "telephone_number": "480-524-0321",
            "fax_number": "480-420-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKAO PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "GULLEDGE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-524-0321",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nielsen & Cyment, Inc. (Arizona CPM and Medical Supply)
• Scott A Nielsen, DDS
• Edward Dane Nielson
• Julia Nieto, PA-C
• Nikao Performance and Rehab
• Nathan Nitzky, RNFA
• Noble Health LLC
• Kelly S. Noble, DDS
• Nobles Transportation LLC
• Anna R Nordin, N.M.D.

• Physical Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.