Nikao Performance and Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NIKAO PERFORMANCE AND REHAB

Practice address

2121 S Mill Ave Ste 209
Tempe, AZ 85282-2136

Phone

(480) 524-0321

Fax

(480) 420-4139

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Amy Gulledge, DONPI 1114327160

Title

Owner

Phone

(480) 524-0321

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Gulledge, PT, DPT, CSCS

  • Orthopedic Physical Therapist
  • Tempe, AZ
  • NPI 1114327160
  NPD Authorized official
• Sean Anderson, DPT

  • Physical Therapist
  • Aurora, CO
  • NPI 1336890870

  Physical Therapy

  NPD

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1487239489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60481",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850820481",
            "telephone_number": "480-524-0321",
            "fax_number": "480-420-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S MILL AVE STE 209",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822136",
            "telephone_number": "480-524-0321",
            "fax_number": "480-420-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKAO PERFORMANCE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "GULLEDGE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-524-0321",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Marie Niedfeldt
• Shunyu Nieh, D.D.S
• Nielsen & Cyment, Inc.
• Scott A Nielsen, DDS
• Julia Nieto, PA-C
• Nikao Physical Therapy, PLLC
• Nathan Nitzky, RNFA
• Irene Wanjiku Njenga
• Noble Health LLC
• Kelly S. Noble, DDS

• Physical Therapy Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.