Kim Janette Nicoletti, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13649 Issued in AZ

Practice address

2255 W Germann Rd Apt 2170
Chandler, AZ 85286-7281

Phone

(203) 313-7403

NPI assigned

Feb 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Kim Jannette Isaacson-Nicoletti Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wilton Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Wilton, CT
  • NPI 1336225036
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1174595854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 W GERMANN RD APT 2170",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867281",
            "telephone_number": "602-538-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 W GERMANN RD APT 2170",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867281",
            "telephone_number": "203-313-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLETTI",
        "first_name": "KIM",
        "middle_name": "JANETTE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1254899",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13649",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008973",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "ISAACSON-NICOLETTI",
            "middle_name": "JANNETTE",
            "credential": "PHYSICAL THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Rose Nichols
• Erica Nichols
• Nicola Nichols
• Patricia Lee Nichols, NURSE PRACTITIONER
• Matthew Ryan Nickerson, P.T. DPT
• Donald C Nielsen
• Kelly Nielsen, ST
• Hailey Nielson
• Peter A Nielson, PHARMD
• Spencer Luna Nui Niemann, D.P.M.

• Physical Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.