Active NPI
Nicolas Cartaya, PT, DPT
- Physical Therapist
- Appleton, WI
National Provider Identifier
1386134559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15668
- Practice address
- N496 Milky Way
Appleton, WI 54915-3993 - Phone
- (920) 738-2000
- NPI assigned
- May 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15668 | WI | Primary |
| Occupational Medicine Physician | 2083X0100X | 0015594 | CO |
Addresses
Primary practice location
N496 Milky Way
Appleton, WI 54915-3993
Mailing address
N496 Milky Way
Appleton, WI 54915-3993
Phone (920) 223-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100196352 | Medicaid | WI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15668 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 0015594 | CO | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1386134559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N496 MILKY WAY",
"city": "APPLETON",
"state": "WI",
"postal_code": "549153993",
"telephone_number": "920-223-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N496 MILKY WAY",
"city": "APPLETON",
"state": "WI",
"postal_code": "549153993",
"telephone_number": "920-738-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTAYA",
"first_name": "NICOLAS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-14",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15668",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CO",
"license": "0015594",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100196352",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.