Nicole Davis

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI003852 Issued in PA

Practice address

700 Walnut Bottom Rd
Carlisle, PA 17013-3631

Phone

(717) 960-7720

NPI assigned

Nov 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Bankert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1235568684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WALNUT BOTTOM RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WALNUT BOTTOM RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133631",
            "telephone_number": "717-960-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE009567",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI003852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BANKERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David B. Killian, DMD, PC
• David L Hartzell MD
• David Shaun Bryant
• Edmund Timothy Davinroy, LPTA
• Katherine Ann Davis, P.T.A.
• Dca of Carlisle Inc
• Jennifer De Leon, PT
• Wendy Katherine Dean, MD
• Wendy Decker
• Cassandra Deckman

• Physical Therapy Assistant in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.