Julie Beth Nicholson, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 5455 Issued in AL

Practice address

400 McFarland Blvd Ste F
Northport, AL 35476-3371

Phone

(205) 333-5351

NPI assigned

Apr 1, 2013

Last updated

Apr 1, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northriver Therapy

  • Physical Therapy Clinic/Center
  • Northport, AL
  • NPI 1982951026
  NPD (past)

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1477896181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11892 CEDARWOOD AVE",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754801",
            "telephone_number": "205-765-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MCFARLAND BLVD STE F",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763371",
            "telephone_number": "205-333-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "JULIE",
        "middle_name": "BETH",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA 5455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurology Clinic, P.C.
• Neuropsychology Clinic
• New Beacon Healthcare Group, LLC (New Beacon of Jasper)
• Seth Peyton Nicholas
• Alicia O Nichols, CRNP
• Tameka Chardell Noland, FNP-C
• Northport - Crna
• Northport Hospital DCH (North Harbor)
• Northport Hospital DCH (Northport Medical Center)
• Northport Internal Medicine PC

• Physical Therapy Assistant in Northport, AL
• Providers in Northport, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.