Nicole Hutchison, P.T.
Individual provider Active NPI Physical Therapist · Peosta, IA
NPI 1134495708 · NPPES record last updated Mar 28, 2012
Key facts
- NPI
- 1134495708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 03327 (IA)
- Practice address
- 16719 Cordillera Dr
Peosta, IA 52068-7016 - Phone
- (563) 580-0243
- Fax
- (563) 588-1500
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03327 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Statera LLC | Current | Accepting new patients | |
| Hutchison Health Consulting LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03327 | IA | Yes |
Addresses
Primary practice location
16719 Cordillera Dr
Peosta, IA 52068-7016
Mailing address
16719 Cordillera Dr
Peosta, IA 52068-7016
Phone (563) 580-0243
Other names
- Nicole Erwin
Other providers in Peosta, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.