Individual provider Active NPI

Nicole Bachelet, DPT

  • Physical Therapist
  • London, KY
National Provider Identifier
1639692890
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006948 Issued in KY
Practice address
100 London Mountain View Dr
London, KY 40741-6668
Phone
(606) 330-0513
NPI assigned
Jul 19, 2017
Last updated
Jul 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040335 NY
Physical Therapist 225100000X 006948 KY Primary

Addresses

Primary practice location

100 London Mountain View Dr
London, KY 40741-6668

Mailing address

47 Hammertown Rd
Pine Plains, NY 12567-5228
Phone (845) 702-7508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317000350 WA Practitioner - Physical Therapist in Private Practice 1355779869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2710 E 57TH Ave
Spokane, WA 99223-6678
Phone (509) 252-2354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040335NYMDGeneral Practice Dentistry
006948KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Jun 30, 2020 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jan 27, 2020 Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince Jun 30, 2020 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jan 27, 2020 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

2710 E 57th Ave
Spokane, WA 99223
Phone (509) 252-2354

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

9310 N Division St
Spokane, WA 99218
Phone (509) 789-2836

201 Tahoma Blvd
Unit 207
Yelm, WA 98597
Phone (360) 458-6400

Interoperability endpoints

  • Direct secure messaging: nicole.bachelet.1@16598.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1639692890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HAMMERTOWN RD",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125675228",
            "telephone_number": "845-702-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LONDON MOUNTAIN VIEW DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416668",
            "telephone_number": "606-330-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHELET",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040335",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.