Nicole M Didas, DPT
Individual provider Active NPI Physical Therapist · Horseheads, NY
NPI 1215212832 · NPPES record last updated Oct 14, 2011
Key facts
- NPI
- 1215212832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 027367-1 (NY)
- Practice address
- 100 John Roemmelt Dr
Suite 100
Horseheads, NY 14845-8301 - Phone
- (607) 796-5934
- Fax
- (607) 796-4922
- NPI assigned
- Oct 14, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027367-1 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 027367-1 | NY | Yes |
Addresses
Primary practice location
100 John Roemmelt Dr
Suite 100
Horseheads, NY 14845-8301
Mailing address
100 John Roemmelt Dr
Suite 100
Horseheads, NY 14845-8301
Other providers in Horseheads, NY
- David H Halpert M.D.
- Subodh Kumar Debnath
- Mary Frances Deebs
- Estelle Dembosky
- Marcia Renee Dickinson
- Michael Dineen
- Beth M Dollinger
- Megan Elizabeth Dorsey-Dodge
- John R Dowling
- Leigh Anne Dries
All providers in Horseheads, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.