Nicole D Bristow, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015343 Issued in MI

Practice address

1201 E Michigan Ave Ste 300
Jackson, MI 49201-1853

Phone

(517) 205-7633

Fax

(517) 205-7634

NPI assigned

May 31, 2018

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

Other names 1

• Nicole D Hunt Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.bristow.p4@direct.athleticoltd.nextgenshare.com

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.

• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Northville, MI
  • NPI 1174626329
  Medicare reassignment NPD
• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapy Clinic/Center
  • Plymouth, MI
  • NPI 1356368047

  Physical Therapist

  NPD
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028
  NPD

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1669964243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011853",
            "telephone_number": "517-205-7633",
            "fax_number": "517-205-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011853",
            "telephone_number": "517-205-7633",
            "fax_number": "517-205-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOW",
        "first_name": "NICOLE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HUNT",
            "middle_name": "D",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eva Marie Briggs, MHC
• Kenneth C Briggs, R.PH.
• Lawson Nolen Bright-Mitchell
• Rafael C Brillantes, MD
• Douglas Laverne Brinker
• Synthia Britton, LLMSW
• Eric Mitchell Britz, MA,LPC,CAADC,SAP
• Clayton Brockelman
• Virginia Lee Broderick
• Lynn Brodock

• Physical Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.