Nichole Waxman, DPT, LATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24512 Issued in MA

Practice address

60 Quaker Hwy
Uxbridge, MA 01569-1628

Phone

(508) 278-7810

NPI assigned

Oct 15, 2019

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Nichole Waxman Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabilitation Associates IncGroup PAC ID 9436118197, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Rehabilitation Associates, Inc.

  • Rehabilitation Clinic/Center
  • Norwood, MA
  • NPI 1063658946
  Medicare reassignment Care Compare group NPD
• Physical Therapy Innovations, Inc

  • Physical Therapist
  • Auburn, MA
  • NPI 1689620452
  Medicare reassignment NPD
• Francis P. Defalco, PC

  dba DeFalco Family Chiropractic

  • Chiropractor
  • Holden, MA
  • NPI 1184944464
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1477195097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SALO TER",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015271940",
            "telephone_number": "774-277-1095",
            "fax_number": "508-297-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 QUAKER HWY",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691628",
            "telephone_number": "508-278-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 Washington St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "MA",
            "postal_code": "015015709",
            "country_code": "US",
            "telephone_number": "774-696-8309",
            "fax_number": "508-297-8416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "NICHOLE",
        "credential": "DPT, LATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24512",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": "2921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "WAXMAN",
            "prefix": "MRS.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Uxbridge Public Schools
• Joseph Michael Vandergrift, PH.D.
• Venture Community Services, Inc
• Victory Distributors LLC (Hannaford Food and Drug)
• Caleb Visbeek
• Robert J Wellman, PHD
• Marilyn Westberg
• Alice Whittaker
• Lindsay Barbara Wilson, RN
• Diane Marie Wollensak, PT

• Physical Therapist in Uxbridge, MA
• Providers in Uxbridge, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.