Caroline Grace Nieves, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30935 Issued in PA

Practice address

290 E Pomfret St
Carlisle, PA 17013-2579

Phone

(717) 245-0400

Fax

(717) 243-5688

NPI assigned

Dec 29, 2022

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

• Caroline Pauley Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access PT PennsylvaniaGroup PAC ID 6507214707, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Access PT Pennsylvania

  • Physical Therapist
  • Carlisle, PA
  • NPI 1255033254

  PA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Access PT Pennsylvania

  • Physical Therapist
  • Mechanicsburg, PA
  • NPI 1316649320
  Care Compare group NPD
• Access PT Pennsylvania

  • Physical Therapist
  • Mechanicsburg, PA
  • NPI 1447952452
  Care Compare group

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1154034692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E POMFRET ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E POMFRET ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132579",
            "telephone_number": "717-245-0400",
            "fax_number": "717-243-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "CAROLINE",
        "middle_name": "GRACE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2024-09-27",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT30935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "PAULEY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Emily Michelle Nix, RN
• Dennis Nmecha
• Haleigh Rae Noldon, CRNP

• All providers in Carlisle, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.