Active NPI
Lee A Nickel, MPT
- Physical Therapist
- Houston, TX
National Provider Identifier
1124222740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1135762
- Practice address
- 2918 San Jacinto St
Houston, TX 77004-2708 - Phone
- (713) 652-3145
- Fax
- (713) 652-3146
- NPI assigned
- Jun 14, 2007
- 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 | 1135762 | TX | Primary |
Addresses
Primary practice location
2918 San Jacinto St
Houston, TX 77004-2708
Mailing address
PO Box 24809
Houston, TX 77229-4809
Phone (713) 378-0667
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1135762 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nisal Corporation | Past | Accepting new patients | |
| Nisal Corporation | Physical Therapist | 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.
-
- Specialist
- Pasadena, TX
- NPI 1013035732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1124222740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24809",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772294809",
"telephone_number": "713-378-0667",
"fax_number": "832-242-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 SAN JACINTO ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770042708",
"telephone_number": "713-652-3145",
"fax_number": "713-652-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKEL",
"first_name": "LEE",
"middle_name": "A",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1135762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.