Nicole Ellis Niemiec, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 15976 Issued in MA

Practice address

270 Huttleston Ave
Fairhaven, MA 02719-1605

Phone

(508) 997-9100

Fax

(508) 993-5854

NPI assigned

Nov 2, 2006

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 identifiers 6

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.

• Barley Family Healthcare & Rehabilitation PC

  • Chiropractor
  • Fairhaven, MA
  • NPI 1043240849

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1205915238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HUTTLESTON AVE",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027191605",
            "telephone_number": "508-997-9100",
            "fax_number": "508-993-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HUTTLESTON AVE",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027191605",
            "telephone_number": "508-997-9100",
            "fax_number": "508-993-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMIEC",
        "first_name": "NICOLE",
        "middle_name": "ELLIS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PT 15976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5437781",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RI",
            "identifier": "27759-4",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Y6932202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y68325",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CHIP",
            "identifier": "41177-1",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "478985",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Ray-Leo Nadeau, LCSW
• Drew L Nahigyan, MD
• Kristina Neto, PA-C
• Maria Neto
• New Bedford Medical Associates PC
• Patrice Nogueira
• Jay Michael O'Dwyer, RPH
• Karen Oliveira, M.ED.
• Jessica Oliver, RPH
• Olsl Alden Place, LLC

• Physical Therapist in Fairhaven, MA
• Providers in Fairhaven, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.