Nicole Tyson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-03048 Issued in KS

Practice address

1133 College Ave Ste G200
Manhattan, KS 66502-2934

Phone

(785) 539-9669

NPI assigned

Jan 24, 2017

Last updated

Jan 24, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mathis Rehab Centers LLC

  • Physical Therapist
  • Manhattan, KS
  • NPI 1558473330
  NPD (past)

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1568909885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE G200",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE G200",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022934",
            "telephone_number": "785-539-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea D Turner, PHD
• Chase Allen Turner, PT, DPT
• Douglas Lee Turner, LSCSW
• Mindy D Turner, LMFT
• Meghan D Tuttle, LMFT
• Holly Ugo, LMLP-T
• Jemimah Blessing Ukata
• Unbound Recovery LLC
• Unbound Recovery LLC
• Danell Underwood, LSCSW

• Physical Therapy Assistant in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.