Randall Nickel, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

2900 Golf Rd
Pewaukee, WI 53072-5449

Phone

(262) 928-7356

NPI assigned

Jan 24, 2024

Last updated

Jan 24, 2024By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1326800509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 NAGAWICKA SHORES DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298817",
            "telephone_number": "262-470-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725449",
            "telephone_number": "262-928-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "RANDALL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey Stuart Niedziela, D.D.S.
• Richard F. Niedziela, D.D.S.
• Michael Thomas Nolte, MD
• Stephen W Noltner, M.D.
• Aatif Nowman, DDS

• Orthopedic Physical Therapist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Orthopedic Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.