Individual provider Active NPI

Nicole P Wiggins, PT, DPT

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1134837172
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP036986 Issued in CO
Practice address
4714 Milestone LN
Castle Rock, CO 80104
Phone
(303) 660-5249
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X CP018459T AR
Physical Therapist 225100000X CP025683T AZ
Physical Therapist 225100000X CP036986 CO Primary

Addresses

Primary practice location

4714 Milestone LN
Castle Rock, CO 80104

Mailing address

4714 Milestone LN
Castle Rock, CO 80104-7907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AR, WA, AK4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20221212002653 GA Practitioner - Physical Therapist in Private Practice 6002285186 Reassigns benefits to 3 organizations
I20230420001265 AR Practitioner - Physical Therapist in Private Practice 6002285186 Reassigns benefits to 1 organization
I20230719002551 WA Practitioner - Physical Therapist in Private Practice 6002285186 Reassigns benefits to 1 organization
I20260504006914 AK Practitioner - Physical Therapist in Private Practice 6002285186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Nova Southeastern College of Osteo Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10429 Solar Way
Charlotte, NC 28278-6739

11260 Old Seward Hwy
Anchorage, AK 99515-3098

PO Box
Suite 110171
Anchorage, AK 99511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP036986COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Orthopaedics, PA CurrentSince Mar 6, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Nov 14, 2022 Accepting new patients
Multicare Health System CurrentSince Jun 23, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Ozark Orthopaedics, P.a. CurrentSince Mar 6, 2023 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Jun 23, 2023 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3317 N Wimberly Dr
Fayetteville, AR 72703
Phone (479) 521-2752

3317 N Wimberly Dr
Fl 2
Fayetteville, AR 72703
Phone (479) 587-3117

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

7201 Turner Lake Rd NW
Ste 13
Covington, GA 30014
Phone (470) 444-1609

11172 Highway 142 N
Covington, GA 30014
Phone (678) 712-3692

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

2120 W Spring St
Ste 1600
Monroe, GA 30655
Phone (678) 712-3686

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

10141 224th St E
Graham, WA 98338
Phone (253) 240-0315

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Interoperability endpoints

  • Direct secure messaging: nicole.wiggins.p6@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: nicole.wiggins.1@18403.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1134837172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 MILESTONE LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047907",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 MILESTONE LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80104",
            "telephone_number": "303-660-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "NICOLE",
        "middle_name": "P",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "CP018459T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP025683T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP036986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.