Individual provider Active NPI

Nicole L Lower, MPT

  • Physical Therapist
  • Centerville, OH
National Provider Identifier
1558393348
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-008978 Issued in OH
Practice address
7626 Paragon Rd
Centerville, OH 45459-4049
Phone
(937) 424-5607
Fax
(937) 425-0032
NPI assigned
Jul 6, 2006
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-008978 OH Primary

Addresses

Primary practice location

7626 Paragon Rd
Centerville, OH 45459-4049

Mailing address

7626 Paragon Rd
Centerville, OH 45459-4049
Phone (937) 424-5607

Other identifiers 1

IdentifierTypeStateIssuer
2668448MedicaidOH

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

LicenseStateTypeSpecialty
PT-008978OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy Physical Therapist PastSince Jan 1, 2004 Accepting new patients
Paragon Therapy Group LLC Physical Therapist Past Accepting new patients
Neurosurgery Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1558393348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 PARAGON RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594049",
            "telephone_number": "937-424-5607",
            "fax_number": "937-425-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 PARAGON RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594049",
            "telephone_number": "937-424-5607",
            "fax_number": "937-425-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWER",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-008978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2668448",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.