Nikolay Kalinichenko
Individual provider Active NPI Physical Therapy Assistant · Perry, KS
NPI 1164714846 · NPPES record last updated May 12, 2011
Key facts
- NPI
- 1164714846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 2820 Osage Rd
Perry, KS 66073-4064 - Phone
- (785) 597-5939
- NPI assigned
- May 12, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
2820 Osage Rd
Perry, KS 66073-4064
Mailing address
2820 Osage Rd
Perry, KS 66073-4064
Phone (785) 597-5939
Other providers in Perry, KS
- Sandra Bowman
- Complete Chiropractic, Rehab, & Wellness LLC
- Alexander Jospeh Hemme
- Jefferson County Memorial Hospital
- Perry Lake Wellness Solution Centers, LLC
- Perry Public Schools Usd343
- Plainsmen Health Services Inc.
- Cara Dawn Porter
- Aubrey Marie Soden
All providers in Perry, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.