Active NPI
Nicole Muzzy, PT
- Physical Therapist
National Provider Identifier
1376021675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012972
- Practice address
- Unit 14010 BLDG 26012
Andersen AFB Guam
Apo, AP 96543-4003 - Phone
- (671) 366-4099
- NPI assigned
- Jul 30, 2018
- Last updated
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012972 | AZ | Primary |
Addresses
Primary practice location
Unit 14010 BLDG 26012
Andersen AFB Guam
Apo, AP 96543-4003
Mailing address
Unit 14010 BLDG 26012
Andersen AFB Guam
Apo, AP 96543-4003
Phone (952) 913-5718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012972 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Spine and Sports | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Glendale, AZ
- NPI 1689993552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1376021675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "UNIT 14010 BLDG 26012",
"address_2": "ANDERSEN AFB GUAM",
"city": "APO",
"state": "AP",
"postal_code": "965434003",
"telephone_number": "952-913-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "UNIT 14010 BLDG 26012",
"address_2": "ANDERSEN AFB GUAM",
"city": "APO",
"state": "AP",
"postal_code": "965434003",
"telephone_number": "671-366-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUZZY",
"first_name": "NICOLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "012972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.