Individual provider Active NPI

Nicole Thiers, PT, DPT

  • Physical Therapist
  • Goodyear, AZ
National Provider Identifier
1487347688
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
13481 W McDowell Rd Ste 300
Goodyear, AZ 85395-2724
Phone
(623) 536-2325
NPI assigned
Jun 1, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Kinesiotherapist 226300000X LPT-33012 AZ

Addresses

Primary practice location

13481 W McDowell Rd Ste 300
Goodyear, AZ 85395-2724

Mailing address

15207 W Sherman St
Goodyear, AZ 85338-3037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630001137 AZ Practitioner - Physical Therapist in Private Practice 0446619936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13481 W McDowell Rd
Suite 300
Goodyear, AZ 85395-2720
Phone (623) 536-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients

Locations

13481 W McDowell Rd
Ste 300
Goodyear, AZ 85395
Phone (623) 536-2325

1190 E Missouri Ave
Ste 100
Phoenix, AZ 85014
Phone (602) 393-0520

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1487347688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15207 W SHERMAN ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13481 W MCDOWELL RD STE 300",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952724",
            "telephone_number": "623-536-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIERS",
        "first_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "AZ",
            "license": "LPT-33012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.