Active NPI
Nickey & Co LLC
- Physical Therapy Clinic/Center
- Overland, MO
National Provider Identifier
1205454816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- NICKEY & CO LLC
- Practice address
- 2550 Woodson Rd
Overland, MO 63114-5437 - Phone
- (314) 254-7050
- NPI assigned
- Jul 9, 2020
- Last updated
- Mar 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latricia Bradford
- Title
- Director
- Phone
- (314) 254-7050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2550 Woodson Rd
Overland, MO 63114-5437
Mailing address
2550 Woodson Rd
Overland, MO 63114-5437
Phone (314) 254-7050
Other names 2
- Nickey & Co.
- Health & Wellness Spa
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NickeyandCompany@yahoo.com | Other |
National Provider Directory
National Provider Directory- Tax ID family
- Health Wellness Spa
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2550 Woodson Rd
Overland, MO 63114
Phone (314) 254-7050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646092800000",
"number": "1205454816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 WOODSON RD",
"city": "OVERLAND",
"state": "MO",
"postal_code": "631145437",
"telephone_number": "314-254-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 WOODSON RD",
"city": "OVERLAND",
"state": "MO",
"postal_code": "631145437",
"telephone_number": "314-254-7050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICKEY & CO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-09",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A",
"authorized_official_last_name": "BRADFORD",
"authorized_official_first_name": "LATRICIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "314-254-7050"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NickeyandCompany@yahoo.com",
"affiliation": "N",
"endpointDescription": "Messaging",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Business",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Business",
"address_1": "2550 Woodson Rd",
"city": "Overland",
"state": "MO",
"country_code": "US",
"postal_code": "631145437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Nickey & Co.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Health & Wellness Spa",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Overland, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.