Emily Nicklies, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005789 Issued in KY

Practice address

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299-5496

Phone

(502) 267-1480

Fax

(502) 267-1982

NPI assigned

Apr 4, 2011

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)

Enrolled

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1396034989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 LIMEHOUSE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203836",
            "telephone_number": "502-262-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12613 TAYLORSVILLE RD",
            "address_2": "STE 118",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402995496",
            "telephone_number": "502-267-1480",
            "fax_number": "502-267-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLIES",
        "first_name": "EMILY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonisha Nicholson, LPCC
• Shana Fishman Nicholson, RN
• Jacquelyn Marie Nickele
• Dana Lynnette Nickell, ARNP
• Bailey L Nickerson, RBT
• Michael Carl Nicoson, M.D.
• Vinay Gopal Nidadavolu, M.D
• Abraham Mani Nidhiry
• Emmanuel Abraham Nidhiry, M.D.
• Kathy A Nieder, MD

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.