Nicole Marie McGuire, PT
Individual provider Active NPI Physical Therapist · Woodsfield, OH
NPI 1619157690 · NPPES record last updated Apr 6, 2014
Key facts
- NPI
- 1619157690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT011964 (OH)
- Practice address
- 44504 State Route 78
Woodsfield, OH 43793-9443 - Phone
- (740) 953-0781
- NPI assigned
- Nov 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011964 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Clinic Inc | Past | Accepting new patients | |
| Crystal Clinic, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011964 | OH | Yes |
Addresses
Primary practice location
44504 State Route 78
Woodsfield, OH 43793-9443
Mailing address
44504 State Route 78
Woodsfield, OH 43793-9443
Phone (740) 953-0781
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619157690 | Medicaid | OH |
Other providers in Woodsfield, OH
- Luca Jean Larkin
- Laurel B Lohrey
- Marden Rehabilitation Associates of Ohio, Inc.
- Marietta Memorial Hospital
- Barbara Jean Marmie
- Christa Dawn McLain
- Medi Home Health Private Care, Inc.
- Monroe County Auditor
- Monroe County Auditor
- Monroe County Board of MRDD
All providers in Woodsfield, OH · Physical Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.