Wanda Brown Nitsch, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT16124 Issued in FL

Practice address

1 University Blvd
Saint Augustine, FL 32086-5799

Phone

(904) 826-0084

Fax

(904) 827-0069

NPI assigned

Apr 9, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366565640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 WICKS BRANCH RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865531",
            "telephone_number": "904-794-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865799",
            "telephone_number": "904-826-0084",
            "fax_number": "904-827-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITSCH",
        "first_name": "WANDA",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT16124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Corine Nicolino, PSY.D
• Nicolle M Bauer LMHC
• Tracy Nierth, RN
• Rebecca L. Ninya, M.A.,CCC-A
• Chelsea Ariel Nissinoff, OD
• Ashley Noegel, O.D.
• Debra Noel, CRNA
• Alicia H Nordman
• Taylor Ann Norman
• Kayla Michelle Norris

• Orthopedic Physical Therapist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.