Nikita Nicklow, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI003176 Issued in PA

Practice address

147 Lafayette Manor Rd
Uniontown, PA 15401-8900

Phone

(724) 430-4848

NPI assigned

Jan 8, 2019

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1528531035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MAYFLOWER DR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 LAFAYETTE MANOR RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018900",
            "telephone_number": "724-430-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLOW",
        "first_name": "NIKITA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI003176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Ann Nichols, MA
• Courtney Nicholson
• Linda L Nick, RN
• Ava T Nickens, APRN, CRNP
• Amanda Nicklow
• Krista Nicol, BA
• Marta Jo Nicol, BS
• Janis Colleen Niemiec, MA
• Breanna Nicole Nolan Sheppard, MD
• Meredith Norman

• Physical Therapy Assistant in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.