Active NPI
Nichol Meyer, DPT
- Physical Therapist
- Anaheim, CA
National Provider Identifier
1093082760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38454
- Practice address
- 2911 W Stonybrook Dr
Anaheim, CA 92804-3931 - Phone
- (208) 201-8986
- NPI assigned
- Nov 24, 2011
- Last updated
- Nov 24, 2011
- 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 | 38454 | CA | Primary |
Addresses
Primary practice location
2911 W Stonybrook Dr
Anaheim, CA 92804-3931
Mailing address
2150 Holly Ave
Ontario, CA 91762-6324
Phone (208) 201-8986
Other names 1
- Nichol Prestia
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 |
|---|---|---|---|
| 38454 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322092800000",
"number": "1093082760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 HOLLY AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917626324",
"telephone_number": "208-201-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 W STONYBROOK DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043931",
"telephone_number": "208-201-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "NICHOL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-24",
"last_updated": "2011-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICHOL",
"last_name": "PRESTIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.