Active NPI
Nichole Sierra McNamara, PT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1508110750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1235340
- Practice address
- 501 Ogden St
San Antonio, TX 78212 - Phone
- (210) 225-4588
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 035819 | NY | |
| Physical Therapist | 225100000X | 1235340 | TX | Primary |
Addresses
Primary practice location
501 Ogden St
San Antonio, TX 78212
Mailing address
501 Ogden St
San Antonio, TX 78212-4325
Phone (210) 225-4588
Other practice location 1
711 Troy Schenectady Rd
Suite 209
Latham, NY 12110-2442
Phone (518) 786-1667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01355979 | Other | NY | RR MEDICARE |
Other names 1
- Nichole Sierra Veltri
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1235340 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1508110750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 OGDEN ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124325",
"telephone_number": "210-225-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 OGDEN ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78212",
"telephone_number": "210-225-4588"
}
],
"practiceLocations": [
{
"address_1": "711 Troy Schenectady Rd",
"address_2": "Suite 209",
"address_purpose": "LOCATION",
"city": "Latham",
"state": "NY",
"postal_code": "121102442",
"country_code": "US",
"telephone_number": "518-786-1667",
"fax_number": "518-786-1954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNAMARA",
"first_name": "NICHOLE",
"middle_name": "SIERRA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035819",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1235340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01355979",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICHOLE",
"last_name": "VELTRI",
"middle_name": "SIERRA",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.