Nicole Ball, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160008784 Issued in IL

Practice address

2203 Flagg Rd
Rochelle, IL 61068-9263

Phone

(815) 562-9800

NPI assigned

Mar 24, 2022

Last updated

Mar 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1144970104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 FLAGG RD",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610689263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 FLAGG RD",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610689263",
            "telephone_number": "815-562-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rossi Kay Aves, N.C.T.M.B., L.M.T.
• D-Anna Geneva Bachman
• Michael Bailey
• Abigail Elizabeth Baker
• Marilyn R Balch, APN
• Joseph Bobbitt, COUNSELER
• Body Care Physical Therapy PLLC
• Anne Booker
• Bpe Dental Care PC (Rochelle Dental Arts)
• Deanne M Braun, RN

• Physical Therapy Assistant in Rochelle, IL
• Providers in Rochelle, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.