Nicole Sulham

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

38223 Issued in CA

Practice address

3218 Governor Dr
San Diego, CA 92122-2902

Phone

(858) 453-3000

Fax

(858) 453-3066

NPI assigned

Sep 26, 2011

Last updated

Feb 12, 2022By 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

Other names 1

• Nicole Navarre Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select San Diego Physical Therapy PCGroup PAC ID 4981088994, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1700516408
  Medicare reassignment Care Compare group NPD
• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Chula Vista, CA
  • NPI 1730819442
  NPD
• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1992435606

  Orthopedic

  NPD

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1619250610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 GOVERNOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222902",
            "telephone_number": "858-453-3000",
            "fax_number": "858-453-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 GOVERNOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222902",
            "telephone_number": "858-453-3000",
            "fax_number": "858-453-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULHAM",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "38223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NAVARRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Khawla H Suleiman-Qafiti, M.D.
• Faisal Suleiman, DMD
• Herjeen Ahmed Suleiman
• Sumaya Suleman
• Amy Marie Sulger, BCBA
• Emily Noelle Sulich, DACCHM, L.AC.
• Mikolaj Pawel Sulikowski, MD
• Ahmed Sirageldin Suliman, MD
• Ashraf A. Suliman, M.D
• Suzan Suliman

• Orthopedic Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.