Nicole Fellows, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11044 Issued in CT

Practice address

491 Cattle Drive Cir Ste 3
Myrtle Beach, SC 29588-3732

Phone

(309) 360-2480

NPI assigned

Jul 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1205389871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 CATTLE DRIVE CIR STE 3",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295883732",
            "telephone_number": "309-360-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 CATTLE DRIVE CIR STE 3",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295883732",
            "telephone_number": "309-360-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 Broad St",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603273",
            "country_code": "US",
            "telephone_number": "203-693-3754",
            "fax_number": "203-283-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11957",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevan Fegely
• William H Felder, LPC
• William Feldmann
• Carel Rae-Carla Sherifa Felix
• Arianna Feller, DO
• Horace Earl Ferguson Jr., OPTICIAN
• Carlos A. Fernandez Acosta, M.D.
• Gabrielle Ann Fernandez, PA-C
• Anthony W Ferrebee, APRN
• Kristina E Ferrell, PHARMD

• Physical Therapist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.