Nicole A Versh, PT, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT25419 Issued in CA

Practice address

26471 Crown Valley Pkwy
Suite 200
Mission Viejo, CA 92691-6378

Phone

(949) 916-2601

Fax

(949) 916-2302

NPI assigned

Mar 14, 2007

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

Other names 1

• Nicole A Beauregard Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richards Physical Therapy IncGroup PAC ID 8820007156, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richards Physical Therapy Inc

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1528065588

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Richards Physical Therapy Inc

  • Orthotic Fitter
  • Mission Viejo, CA
  • NPI 1285820183

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1356474571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26471 CROWN VALLEY PKWY",
            "address_2": "SUITE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916378",
            "telephone_number": "949-916-2601",
            "fax_number": "949-916-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26471 CROWN VALLEY PKWY",
            "address_2": "SUITE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916378",
            "telephone_number": "949-916-2601",
            "fax_number": "949-916-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSH",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT25419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BEAUREGARD",
            "middle_name": "A",
            "credential": "PT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darius Alexander Veleas, D.C.
• Russell Venanzi
• Geeta Venkat, M.D.
• Lauren Elizabeth Vento, PA-C
• Alexis Rene Verdusco
• Siamak Veshkini
• Nikkie Bahar Veyseh, AMFT
• Via la Coruna Manor
• Cleotilde P Victa, SCHOOL COUNSELING
• Victor V Cachia DPM Inc

• Orthopedic Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.

Verify at the official NPI Registry.