Nichole Manning, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

078134 Issued in IA

Practice address

250 12TH Ave Ste 160
Coralville, IA 52241-2912

Phone

(319) 354-4800

NPI assigned

Jul 30, 2015

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Coralville, IA
  • NPI 1912182643
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1457736571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 12TH AVE STE 160",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412912",
            "telephone_number": "319-345-4800",
            "fax_number": "319-345-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 12TH AVE STE 160",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412912",
            "telephone_number": "319-354-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "NICHOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "078134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morton Malcom Machir, MD
• Kelsey Nicole Madesen, MSN, ARNP, PMHNP-BC
• Erin Maher, LMFT
• Abigail Mallek
• Breanna Manders M Manders, PHARMD
• Michael D Markham, LMSW
• Madeleine Marshall, LISW
• Noah James Martin, OTD, OTR/L
• Blake Martinez, MPPD, RDN, LD
• Sarah Louise Martinez

• Physical Therapist in Coralville, IA
• Providers in Coralville, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.