Nicole Carmen Godett, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34154 Issued in CA

Practice address

730 N Norma St
Ridgecrest, CA 93555-3521

Phone

(760) 301-5411

Fax

(760) 301-5408

NPI assigned

Nov 1, 2007

Last updated

Aug 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nicole Carmen Mullis Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bishop & Associates Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Ridgecrest, CA
  • NPI 1184885741

  Physical Therapist

  NPD

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1386823813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SONJA AVE",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553358",
            "telephone_number": "760-382-3882",
            "fax_number": "760-301-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N NORMA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553521",
            "telephone_number": "760-301-5411",
            "fax_number": "760-301-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODETT",
        "first_name": "NICOLE",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MULLIS",
            "middle_name": "CARMEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gilbert Dental Corporation
• Gilbert Dental Corporation (Palm Tree Pediatric Dentistry)
• Danielle Leanne Gilbert, DMD
• Haley Rae Gilmore, LVN
• Christopher Glenn, RBT
• Cecilia Jazmin Godinez Villa
• Annalise Karen Goh
• Emily Goldammer, CRNA
• Golden State Otolaryngology Medical
• Kayla Ann Gomez, PA

• Physical Therapist in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.