Nicole Sidor, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20722 Issued in MA

Practice address

41555 Cook St Ste 100
Palm Desert, CA 92211-5184

Phone

(760) 831-0033

Fax

(760) 831-1013

NPI assigned

Feb 21, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Easy Speech Therapy Center

  • Speech-Language Pathologist
  • Palm Desert, CA
  • NPI 1881167237
  NPD (past)

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1659796019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41555 COOK ST STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115184",
            "telephone_number": "760-831-0033",
            "fax_number": "760-831-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41555 COOK ST STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115184",
            "telephone_number": "760-831-0033",
            "fax_number": "760-831-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDOR",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Shipman, L.AC.
• Karah Rose Shouse, OTR/L
• Ornella Siakam
• Bianchi Siapno, PHARM.D.
• Maryam Sickinger, D.O.
• Alan W Siegel, O.D.
• Ronni Sigmund, CDACC II
• Michael J. Silver, MFT
• Homayoun Siman, MD
• Simerson Industries LLC.

• Physical Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.