Myles Alexander Nicholas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

006515-1 Issued in NY

Practice address

620 Westfall Rd
Rochester, NY 14620-4610

Phone

(585) 461-8842

NPI assigned

Jul 23, 2008

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1437314028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 MAGEE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146131015",
            "telephone_number": "585-647-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204610",
            "telephone_number": "585-461-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MYLES",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006515-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Ann Nicchi, MS, NCC, MHC
• Maureen A Niche, FNP
• Carrie Marie Nicholas
• Catherine Elisabeth Nicholas
• Joseph Anthony Nicholas, M.D.
• Nirmala Nicholas, MD
• Suzanne Nicholas, DMD MPH
• Nichols Recovery Support Services
• Ashley Susan Nichols, RPA-C
• Justine Joy Nichols

• Physical Therapy Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.