Active NPI
Shelley Nichols
- Physical Therapist
- Laconia, NH
National Provider Identifier
1083635148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTTI01475
- Practice address
- 745 N Main St
Laconia, NH 03246-2715 - Phone
- (603) 524-5151
- NPI assigned
- Jul 22, 2006
- 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 | PTTI01475 | NH | Primary |
Addresses
Primary practice location
745 N Main St
Laconia, NH 03246-2715
Mailing address
745 N Main St
Laconia, NH 03246-2715
Phone (603) 524-5151
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTTI01475 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital-Franklin | Past | Accepting new patients | |
| LRG Healthcare | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Franklin, NH
- NPI 1114005535
-
- Ambulatory Surgical Clinic/Center
- Laconia, NH
- NPI 1942388327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083635148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 N MAIN ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032462715",
"telephone_number": "603-524-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 N MAIN ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032462715",
"telephone_number": "603-524-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "SHELLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "PTTI01475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.