Active NPI
Nicole Jones
- Physical Therapist
- Port Orchard, WA
National Provider Identifier
1649058983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61214856
- Practice address
- 6768 McCormick Woods Dr SW
Port Orchard, WA 98367-7611 - Phone
- (559) 960-3999
- NPI assigned
- Sep 18, 2023
- 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 | 61214856 | WA | Primary |
Addresses
Primary practice location
6768 McCormick Woods Dr SW
Port Orchard, WA 98367-7611
Mailing address
6768 McCormick Woods Dr SW
Port Orchard, WA 98367-7611
Phone (559) 960-3999
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61214856 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1649058983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6768 MCCORMICK WOODS DR SW",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983677611",
"telephone_number": "559-960-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6768 MCCORMICK WOODS DR SW",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983677611",
"telephone_number": "559-960-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61214856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.