Ann G Nicholson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60231948 Issued in WA

Practice address

5704 E Lake Sammamish Pkwy SE
Ste. #101
Issaquah, WA 98029-8941

Phone

(425) 270-3323

Fax

(425) 270-3326

NPI assigned

Nov 8, 2007

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Sports Therapy and Rehabilitation LLC

  • Physical Therapist
  • Washington, DC
  • NPI 1942955729
  NPD
• Sports Therapy and Rehabilitation,Inc

  • Physical Therapist
  • Washington, DC
  • NPI 1780611046
  NPD
• Quest Physical Therapy, LLC

  • Physical Therapist
  • Issaquah, WA
  • NPI 1053624791
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1508046319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 E LAKE SAMMAMISH PKWY SE",
            "address_2": "STE. # 101",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298941",
            "telephone_number": "425-270-3323",
            "fax_number": "425-270-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 E LAKE SAMMAMISH PKWY SE",
            "address_2": "STE. #101",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298941",
            "telephone_number": "425-270-3323",
            "fax_number": "425-270-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ANN",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60231948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thoa V Nguyen, DDS
• Tran Nguyen
• Van Nguyen, PHARM. D
• Vy Nguyen, CBT
• Mary A Nichols, LMP, CMMP
• Elizabeth B. Nickerson, LMP
• Emily Noe, D.P.T
• Jennifer Noelke, LICSW
• Kimberly Norby, CB
• Dalillah Bernal Nord, CNM, ARNP, DNP

• Physical Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.