Nichola Michelle Williams

Individual provider Active NPI Physical Therapist · Sparta, NC

NPI 1154047405 · NPPES record last updated Oct 18, 2022

Key facts

NPI
1154047405
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
507 N Main St
Sparta, NC 28675-8609
Phone
(336) 372-3434
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Flowers, DDS, PA Past
since Oct 23, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

507 N Main St
Sparta, NC 28675-8609

Mailing address

507 N Main St
Sparta, NC 28675-8609

Other providers in Sparta, NC

All providers in Sparta, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.