Active NPI
Nicole Sova, PT
- Physical Therapist
- Bellevue, NE
National Provider Identifier
1649550070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3018
- Practice address
- 2206 Longo Dr
Suite 211
Bellevue, NE 68005-2901 - Phone
- (402) 291-1963
- NPI assigned
- Aug 16, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3018 | NE | Primary |
| Physical Therapist | 225100000X | 004852 | IA |
Addresses
Primary practice location
2206 Longo Dr
Suite 211
Bellevue, NE 68005-2901
Mailing address
2403 S 133Rd PLZ
Omaha, NE 68144-5905
Phone (402) 330-8433
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 |
|---|---|---|---|
| 3018 | NE | MD | Speech-Language Pathologist |
| 004852 | IA | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1649550070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 S 133RD PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445905",
"telephone_number": "402-330-8433",
"fax_number": "402-330-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 LONGO DR",
"address_2": "SUITE 211",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680052901",
"telephone_number": "402-291-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOVA",
"first_name": "NICOLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3018",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.