Nikolai Gammage, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

409 Benedicta Ave
Trinidad, CO 81082-2004

Phone

(719) 846-9291

NPI assigned

Apr 25, 2023

Last updated

Apr 25, 2023By the provider in NPPES

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1548958887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 E CLOVERDALE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425035807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822004",
            "telephone_number": "719-846-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMAGE",
        "first_name": "NIKOLAI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Mendoza Flores Jr.
• Focus Training, Inc. (Janna Tranter, LPC)
• Front Range Primary Care Partners LLC (Mt. Carmel Health & Wellness)
• Michael J E Fyffe, OTR
• Michaela Anne Gaffen Stone, BCBA
• Vincent A Gatti Sr., ACA0008058 08312023
• Lana Geier, NP
• Gerald a. Cichocki, M.D., PC (Trinidad Urology Center)
• Thomas Perry Goodell, M.D.
• Grace Mountain Health & Wellness LLC

• Physical Therapy Assistant in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.