Active NPI
Nicole Lee Dundon, PT, DPT
- Physical Therapist
- Whitehall, OH
National Provider Identifier
1558876763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015269
- Practice address
- 4805 Langley Ave
Whitehall, OH 43213-6125 - Phone
- (614) 501-8271
- NPI assigned
- Dec 11, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015269 | OH | Primary |
Addresses
Primary practice location
4805 Langley Ave
Whitehall, OH 43213-6125
Mailing address
790 Alexandria Colony CT
Columbus, OH 43215-1206
Phone (614) 403-1707
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015269 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1558876763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 ALEXANDRIA COLONY CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151206",
"telephone_number": "614-403-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 LANGLEY AVE",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432136125",
"telephone_number": "614-501-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNDON",
"first_name": "NICOLE",
"middle_name": "LEE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "015269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.