Nichole R King, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204754 Issued in VA

Practice address

860 Omni Blvd
Ste 103
Newport News, VA 23606-4434

Phone

(757) 223-9403

Fax

(757) 223-5546

NPI assigned

Aug 16, 2006

Last updated

Mar 31, 2016By 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

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Best Life Physical Therapy and Sports MedicineGroup PAC ID 1355500240, 11 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.

• Best Life Physical Therapy and Sports Medicine

  • Orthopedic Physical Therapist
  • Virginia Beach, VA
  • NPI 1619240033
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1649383746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD",
            "address_2": "STE 303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064434",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD",
            "address_2": "STE 103",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064434",
            "telephone_number": "757-223-9403",
            "fax_number": "757-223-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "NICHOLE",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kincare Healthcare Services, LLC
• Angela King
• Erica King
• Joseph Keithon King, MD
• Megan Elizabeth King, PA-C
• Philip A King, PTA
• Sable King
• Stephanie Heaton King, NP
• Kingsley Lane Anatomic Pathology
• Kingsley Lane Pathology Associates PC

• Physical Therapist in Newport News, VA
• Providers in Newport News, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.