Active NPI
Nicole Voltenburg
- Physical Therapist
- Dallas, TX
National Provider Identifier
1629548029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT295719
- Practice address
- 1755 Wittington PL Ste 175
Dallas, TX 75234-1905 - Phone
- (810) 449-9186
- NPI assigned
- Nov 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016994 | MI | |
| Physical Therapist | 225100000X | PT295719 | CA | Primary |
Addresses
Primary practice location
1755 Wittington PL Ste 175
Dallas, TX 75234-1905
Mailing address
1755 Wittington PL Ste 175
Dallas, TX 75234-1905
Phone (810) 449-9186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501016994 | Other | MI | MI LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT295719 | CA | MD | Physical Therapist |
| 5501016994 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1629548029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 WITTINGTON PL STE 175",
"city": "DALLAS",
"state": "TX",
"postal_code": "752341905",
"telephone_number": "810-449-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 WITTINGTON PL STE 175",
"city": "DALLAS",
"state": "TX",
"postal_code": "752341905",
"telephone_number": "810-449-9186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLTENBURG",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016994",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT295719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI LICENSE",
"identifier": "5501016994",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.