Individual provider Active NPI

Nicole Harmon, PT, DPT

  • Physical Therapist
  • Sparks, NV
National Provider Identifier
1487215299
Registry record updated Jun 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4878 Sparks Blvd Ste 102
Sparks, NV 89436-8150
Phone
(775) 507-4084
NPI assigned
Jun 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4878 Sparks Blvd Ste 102
Sparks, NV 89436-8150

Mailing address

1596 Cairns Rd
Mansfield, OH 44903-9094
Phone (567) 227-0252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4051NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Physical Therapy Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients

Locations

16560 Wedge Pkwy
Ste 200A
Reno, NV 89511
Phone (775) 384-1400

4878 Sparks Blvd
Ste 102
Sparks, NV 89436
Phone (775) 507-4084

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1487215299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1596 CAIRNS RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039094",
            "telephone_number": "567-227-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4878 SPARKS BLVD STE 102",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368150",
            "telephone_number": "775-507-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-23",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; 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.