Nickol Madrid

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2145517 Issued in TX

Practice address

12101 Bee Caves Rd
Bee Cave, TX 78738-6391

Phone

(505) 353-2727

NPI assigned

Jun 28, 2023

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

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1255018677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 BEE CAVES RD",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386391",
            "telephone_number": "505-450-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 BEE CAVES RD",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386391",
            "telephone_number": "505-353-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "NICKOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2145517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svetlana Alexander Lisovskiy, P.A.
• Andrew Leland Long, DPT
• Matthew Cody Lubeck, O.D.
• Andrea Michelle Luise, D.C.
• Luxottica of America Inc. (Lenscrafters #5604)
• Mahavir Dental PLLC (Comfydent Smiles)
• Rachel A Malish, APRN
• Usha Manandhar, FNP
• Gregory Marchand, M.D.
• Kelsey Martin, NP

• Physical Therapy Assistant in Bee Cave, TX
• Providers in Bee Cave, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.