Nicole Simone Weston, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

31106 Issued in FL

Practice address

800 Spring Creek Blvd
Apartment 10208
Crestview, FL 32536-5175

Phone

(269) 240-8855

NPI assigned

Oct 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Nicole Simone Flynn Former name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

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 and National Provider Directory roles.

• Made to Move LLC

  • Physical Therapist
  • Hilo, HI
  • NPI 1295304384
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1083865265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRING CREEK BLVD",
            "address_2": "APARTMENT 10208",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365175",
            "telephone_number": "269-240-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRING CREEK BLVD",
            "address_2": "APARTMENT 10208",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365175",
            "telephone_number": "269-240-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "NICOLE",
        "middle_name": "SIMONE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22374",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015863",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010738A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FLYNN",
            "middle_name": "SIMONE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Mychaela Weekley, RBT
• Ashley Weeks
• Ian Landon Weisberg, MD
• Joanna Wesley, NP
• Robert C Wessman, MD
• Courtney Ann Whatley
• Where You Are Therapy
• White Sands Podiatry LLC
• White Sands Podiatry LLC (White Sands Podiatry)
• White Sands Podiatry LLC

• Physical Therapist in Crestview, FL
• Providers in Crestview, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.