Nichole Katrina Purdue, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160063403 Issued in WA

Practice address

4560 SE International Way
Suite 100 Consonus Healthcare Services
Milwaukie, OR 97222

Phone

(971) 206-5200

Fax

(971) 206-5203

NPI assigned

Dec 29, 2008

Last updated

Dec 29, 2008By the provider in NPPES

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 names 1

• Mrs. Nichole Katrina Morales Former name

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1124264924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY",
            "address_2": "SUITE 100 CONSONUS HEALTHCARE SERVICES",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97222",
            "telephone_number": "971-206-5200",
            "fax_number": "971-206-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY",
            "address_2": "SUITE 100 CONSONUS HEALTHCARE SERVICES",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97222",
            "telephone_number": "971-206-5200",
            "fax_number": "971-206-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDUE",
        "first_name": "NICHOLE",
        "middle_name": "KATRINA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160063403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "MORALES",
            "middle_name": "KATRINA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Providence Health & Services Oregon
• Providence Health Systems
• Providence Milwaukie Hospital
• Providence Milwaukie Hospital (Providence Hospitalists Southeast)
• Holly Marie Provost, PHYSICAL THERAPIST
• Tanya Ilona Purt-Nichols
• Catherine Swanson Purves, PTA
• James C Putman, PSY.D.
• Georgiana Christine Putnam, MS CCCSLP
• Amelia Anne Putty

• Physical Therapy Assistant in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.