Niki Avery Pediatric PT LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

NIKI AVERY PEDIATRIC PT LLC

Practice address

1050 37TH St
Evans, CO 80620

Phone

(970) 590-2893

NPI assigned

Jun 8, 2018

Last updated

Jul 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Niki Avery, MS,PT

Title

Physical Therapist

Phone

(970) 590-2893

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole L Avery, MS,PT

  • Pediatric Physical Therapist
  • Evans, CO
  • NPI 1568955185

  Pediatrics

  NPD

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1316430812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 37TH ST",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806202115",
            "telephone_number": "970-590-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 37TH ST",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "80620",
            "telephone_number": "970-590-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKI AVERY PEDIATRIC PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "NIKI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "970-590-2893",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Morales
• Olinda Moro Lopez
• Alexander B Murphy, MA
• Jessica Susana Nedom, NP
• Nightingale Behavioral Health
• North Colorado Health Alliance
• North Range Behavioral Health
• North Range Behavioral Health
• North Range Behavioral Health
• Northern Colorado Respite LLC

• Pediatric Physical Therapist in Evans, CO
• Providers in Evans, CO by specialty
• Pediatric Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.