Nicole Marie Padmos, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61005818 Issued in WA

Practice address

9602 Sunburst CT SE
Port Orchard, WA 98367-9634

Phone

(360) 731-9519

NPI assigned

Sep 23, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1114578911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9602 SUNBURST CT SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 SUNBURST CT SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679634",
            "telephone_number": "360-731-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Tremont St W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983663743",
            "country_code": "US",
            "telephone_number": "360-874-0745",
            "fax_number": "360-874-0846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADMOS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61005818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT61005818",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph L Ostheller, DDS
• Melissa R Ottenbacher, ARNP
• Andrew Michael Owen, D.O.
• Ariana Sage Ozog
• Pacific Physical Therapy PLLC
• Brenda D Page, LMP
• Tamera F Page, LMP
• Young-Ki Paik, M.D.
• Chinsu Pak, PHARM D.
• Demery Paladichuk, ARNP

• Physical Therapist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.