Active NPI
Nicole Powers, DPT
- Physical Therapist
- Purchase, NY
National Provider Identifier
1255920294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046853
- Practice address
- 3030 Westchester Ave
Purchase, NY 10577-2574 - Phone
- (914) 682-6435
- Fax
- (914) 681-3115
- NPI assigned
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13009 | CT | |
| Physical Therapist | 225100000X | 046853 | NY | Primary |
Addresses
Primary practice location
3030 Westchester Ave
Purchase, NY 10577-2574
Mailing address
800 Westchester Ave Ste N715
Rye Brook, NY 10573-1369
Phone (914) 607-5730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210315002287 | CT | Practitioner - Physical Therapist in Private Practice | 6507272796 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Iron Health Stamford PLLC
Practice addresses (Care Compare)
78 Southfield Ave
Suite 201
Stamford, CT 06902-7649
Phone (914) 488-5763
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13009 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iron Health Stamford PLLC | Physical Therapist | Current | Accepting new patients |
Locations
78 Southfield Ave
Ste 201
Stamford, CT 06902
Phone (914) 488-5763
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1255920294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WESTCHESTER AVE STE N715",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105731369",
"telephone_number": "914-607-5730",
"fax_number": "914-457-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772574",
"telephone_number": "914-682-6435",
"fax_number": "914-681-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "13009",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Purchase, NY
- Jessica Maribel Pizarro
- Catherine Laible Plummer, M.D.
- Yohanny Polanco
- Port Chester Chiropractic,P.C.
- Power of Movement Physical Therapy, P.C.
- Premise Health of New York Medical PC
- Dana Simone Protopapas, PT, DPT
- Amanda Elizabeth Puglise, M.S., CCC-SLP
- Elsa Puma I
- Purchase College Student Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.