Jennifer Nicholson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

111872 Issued in IA

Practice address

3770 8TH St SW Ste G&I
Altoona, IA 50009-1048

Phone

(515) 416-9380

NPI assigned

Jul 6, 2022

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

Enrolled in IA

Enrollment records 1

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.

• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Des Moines, IA
  • NPI 1679632038
  Medicare reassignment NPD
• Physiotherapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • Altoona, IA
  • NPI 1194483610
  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1508599630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 VALDEZ DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101441",
            "telephone_number": "319-533-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 8TH ST SW STE G&I",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091048",
            "telephone_number": "515-416-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "111872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Murphy, RBT
• Shriti Manish Nathwani
• National Hearing Centers
• Victoria Nemmers, DO
• Nicholas Netsch, PHARMD
• Matthew Nicholson, DO
• Abigail Kay Nolan, SLP
• Nzeugand & Sons LLC
• Joseph O'Neill
• Steven C Olsen, MSPT CSCS

• Physical Therapist in Altoona, IA
• Providers in Altoona, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.