Nicole M Amaro, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT297617 Issued in CA

Practice address

2951 Harbor Blvd
Costa Mesa, CA 92626-3912

Phone

(714) 427-0803

Fax

(714) 427-0785

NPI assigned

Oct 15, 2019

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

• Nicole Pattison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Specialized Physical Therapy, Apc

  • Physical Therapist
  • Tustin, CA
  • NPI 1346272093

  Orthopedic

  NPD

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1194367714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 HARBOR BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "714-427-0803",
            "fax_number": "714-427-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 HARBOR BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "714-427-0803",
            "fax_number": "714-427-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARO",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT297617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PATTISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miranda Jazmine Alvarez
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• Alyse Michele Baron MD Inc
• Alexis Abaya Amacio
• Amada Home Care Inc.
• David Alexander Amaya
• Michelle Elizabeth Amber, M.A., LMFT
• Tyler Ambrose
• Amen Clinics, Inc
• Daniel Gregory Amen, M.D.

• Orthopedic Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, 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 Nov 7, 2019; 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.