Nicole Indart

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT24274 Issued in CA

Practice address

3717 Mt Diablo Blvd
Suite 100
Lafayette, CA 94549-3588

Phone

(925) 284-5300

Fax

(925) 284-5381

NPI assigned

Jan 5, 2016

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bass Medical Group

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1174253405
  Medicare reassignment Care Compare group NPD
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • San Ramon, CA
  • NPI 1467329904
  NPD
• Bay Area Surgical Specialists, Inc a Medical Corporation

  • Orthopaedic Surgery Physician
  • Sacramento, CA
  • NPI 1356702526
  NPD
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1154787224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 MT DIABLO BLVD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493588",
            "telephone_number": "925-284-5300",
            "fax_number": "925-284-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 MT DIABLO BLVD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493588",
            "telephone_number": "925-284-5300",
            "fax_number": "925-284-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDART",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT24274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT24274",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aisha Ibrahim
• Icboggan, Inc (Nerissa T. Boggan)
• Ide-Don Physical Therapy PC (Ide-Don Physical Therapy)
• Jonathan Ide-Don, P.T.
• Imaging Partners Medical Group
• Allison Inloes, MS, OTR/L
• Amber Jackson
• Gilbert Joseph Jackson, D.C.
• Stacy L Jackson, DC
• Tamiesha Jackson

• Orthopedic Physical Therapist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.