Kellie Nowicke

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007236 Issued in KY

Practice address

108 Diagnostic Dr
Frankfort, KY 40601-6556

Phone

(502) 607-8910

NPI assigned

Feb 5, 2020

Last updated

Nov 8, 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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Wellness Team LLCGroup PAC ID 5890142145, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• My Wellness Team LLC

  dba 360 Wellness LLC

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1619651767

  IN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1487286795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 SKY RIDGE RD",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119042",
            "telephone_number": "812-343-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DIAGNOSTIC DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016556",
            "telephone_number": "502-607-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWICKE",
        "first_name": "KELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Ann Nickell, ARNP
• Arthur J Nitz, PT
• Nathan David Nitz, DMD
• Adina Marie Nolan, PA-C
• Not Forgotten Recovery
• Nrarh LLC (Nrarh Ky)
• Jeanine Mary O'Bryan, COTA/L
• Rebecca Marie O'Dell
• Loraina B O'Nan, LCSW
• Gbolahan O Ogunbayo, M.D.

• Physical Therapist in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.