Organization Active NPI

Nickey & Co LLC

  • Physical Therapy Clinic/Center
  • Overland, MO
National Provider Identifier
1205454816
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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)CodeLicenseStatePrimary
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. Former legal business name
  • Health & Wellness Spa Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NickeyandCompany@yahoo.com Other

National Provider Directory

National Provider Directory
Tax ID family
Health Wellness Spa2 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.