Nicole E Laird, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1218061 Issued in TX

Practice address

324 Riverwalk Dr Ste 312
San Marcos, TX 78666-6936

Phone

(512) 268-9130

Fax

(833) 437-4389

NPI assigned

Aug 7, 2012

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

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.

• Fearless Functional Fitness, LLC

  • Physical Therapist
  • San Marcos, TX
  • NPI 1063974152
  NPD Authorized official

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1275880486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 RIVERWALK DR STE 312",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666936",
            "telephone_number": "512-268-9130",
            "fax_number": "833-437-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 RIVERWALK DR STE 312",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666936",
            "telephone_number": "512-268-9130",
            "fax_number": "833-437-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "NICOLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1218061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anne Kulp, LCSW
• Koteswara Rao Kunda, M.D.
• Katherine Irene Lacenere, LSW
• Ouida Michelle Lacey, FNP-C
• Kevon Lafleur
• Pamela Lambert, LCSW
• Ashre Landrum
• Jonathan T Lang, LPC
• Michelle Kristin Langford
• Makena L. Lanier

• Physical Therapist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.