Active NPI
Nicole Marie Sleddens, MPT
- Geriatric Physical Therapist
- Syracuse, NE
National Provider Identifier
1396014718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 1467
- Practice address
- 1622 Walnut St
Syracuse, NE 68446-7017 - Phone
- (402) 269-2251
- NPI assigned
- Dec 14, 2011
- Last updated
- Dec 14, 2011
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 1467 | NE | Primary |
Addresses
Primary practice location
1622 Walnut St
Syracuse, NE 68446-7017
Mailing address
9540 Cotswold LN
Lincoln, NE 68526-9775
Phone (402) 486-0008
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 |
|---|---|---|---|
| 1467 | NE | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1396014718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9540 COTSWOLD LN",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269775",
"telephone_number": "402-486-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 WALNUT ST",
"city": "SYRACUSE",
"state": "NE",
"postal_code": "684467017",
"telephone_number": "402-269-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEDDENS",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NE",
"license": "1467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.