Nicole Christine Waters, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211501 Issued in VA

Practice address

251 W Lee Hwy Ste 193
Warrenton, VA 20186-2047

Phone

(540) 466-3883

Fax

(540) 739-7474

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Marymount University, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balance Physical Therapy Services, LLCGroup PAC ID 4880019371, 7 clinicians

Proflex Physical Therapy of Maryland, LLCGroup PAC ID 7416244322, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balance Physical Therapy Services, LLC

  • Physical Therapist
  • Haymarket, VA
  • NPI 1770115669

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Proflex Physical Therapy of Maryland, LLC.

  • Physical Medicine & Rehabilitation Physician
  • Waldorf, MD
  • NPI 1558714824

  Physical Therapist, VA

  Medicare reassignment Care Compare group NPD
• Haymarket Physical Therapy LLC

  • Physical Therapist
  • Gainesville, VA
  • NPI 1093199275

  Single Specialty

  Medicare reassignment NPD
• Professional Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Metro DC

  • Clinic/Center
  • Winchester, VA
  • NPI 1033142294

  DC, Single Specialty

  Medicare reassignment NPD
• Proflex Physical Thearpy of Maryland, LLC

  • Physical Medicine & Rehabilitation Physician
  • Stafford, VA
  • NPI 1700763851
  NPD
• Professional Sportscare & Rehab, LLC

  dba Pivot Physical Therapy

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1548714959

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1245757962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-535-8758",
            "fax_number": "919-535-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W LEE HWY STE 193",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862047",
            "telephone_number": "540-466-3883",
            "fax_number": "540-739-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10402 Bristow Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bristow",
            "state": "VA",
            "postal_code": "201362202",
            "country_code": "US",
            "telephone_number": "703-753-0261",
            "fax_number": "703-743-2967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14535 John Marshall Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201554025",
            "country_code": "US",
            "telephone_number": "703-753-0261",
            "fax_number": "703-743-2967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warrenton Oral and Facial Surgery (Northern Virginia Center for Oral Surgery of Warrenton)
• Warrenton Pediatrics, LLC
• Warrenton Pharmacy, Inc.
• Warrenton Yellow Cab LLC
• Joanna Waterhouse, RN, CDE, CPT
• Kendra Marie Weast, FNP-BC
• Wecare Pharmacy LLC
• Wecare Pharmacy LLC
• Heather L Weidner, LAC
• Aileen Honeyman Weik, RD

• Physical Therapist in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.