Diane E. Nicholson, P.T., N.C.S.

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

121711-2401 Issued in UT

Practice address

520 Wakara Way Ste 320
University of Utah
Salt Lake City, UT 84108-1213

Phone

(801) 581-3593

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114044187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 ASHLEY RIDGE RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840927259",
            "telephone_number": "801-520-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WAKARA WAY STE 320",
            "address_2": "UNIVERSITY OF UTAH",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081213",
            "telephone_number": "801-581-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "DIANE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "P.T., N.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "UT",
            "license": "121711-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Christopher Nichols, PA-C
• Kristi Leavitt Nichols, CNM
• Natalie Nichols, DPT
• Tamara L Nichols, MPT
• Tracy D. Nichols, MSN CPNP
• Elizabeth Demos Nicholson, M.D.
• Patrick Donald Nicholson, M.D.
• Alexa Victoria Nickel, APRN
• Joshua Nickels, RN
• Stacy Lynn Nickels, BS

• Neurology Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Neurology Physical Therapist in Utah

• 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.

Verify at the official NPI Registry.