Active NPI
Nichole T. Thomas, DPT
- Physical Therapist
- Cartersville, GA
National Provider Identifier
1639347255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009264
- Practice address
- 150 Gentilly Blvd
Cartersville, GA 30120-8522 - Phone
- (678) 719-7000
- Fax
- (678) 719-7003
- NPI assigned
- Feb 17, 2008
- 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 | 009264 | GA | Primary |
Addresses
Primary practice location
150 Gentilly Blvd
Cartersville, GA 30120-8522
Mailing address
PO Box 724557
Atlanta, GA 31139-1557
Phone (678) 981-3543
Other practice location 1
335 Roselane St NW
SUite 201
Marietta, GA 30060-6969
Phone (770) 514-1410
Other names 1
- Pamela Nichole Turner
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 |
|---|---|---|---|
| 009264 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1639347255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 724557",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311391557",
"telephone_number": "678-981-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 GENTILLY BLVD",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301208522",
"telephone_number": "678-719-7000",
"fax_number": "678-719-7003"
}
],
"practiceLocations": [
{
"address_1": "335 Roselane St NW",
"address_2": "SUite 201",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300606969",
"country_code": "US",
"telephone_number": "770-514-1410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "NICHOLE",
"middle_name": "T.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-17",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "009264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "TURNER",
"middle_name": "NICHOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.