Individual provider Active NPI

Nicole Turnbow, PT, DPT

  • Physical Therapist
  • Bloomfield, CT
National Provider Identifier
1649747379
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12054 Issued in CT
Practice address
705 Bloomfield Ave Ste 203
Bloomfield, CT 06002-2480
Phone
(774) 287-0143
Fax
(860) 348-3144
NPI assigned
Oct 31, 2018
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12054 CT Primary

Addresses

Primary practice location

705 Bloomfield Ave Ste 203
Bloomfield, CT 06002-2480

Mailing address

705 Bloomfield Ave Ste 203
Bloomfield, CT 06002-2480
Phone (774) 287-0143

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

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Motion LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

705 Bloomfield Ave
Ste 203
Bloomfield, CT 06002
Phone (774) 287-0143

Organizations & group practices 1

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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1649747379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BLOOMFIELD AVE STE 203",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022480",
            "telephone_number": "774-287-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BLOOMFIELD AVE STE 203",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022480",
            "telephone_number": "774-287-0143",
            "fax_number": "860-348-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBOW",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.