Juanita Louise Nirider, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT00003609 Issued in WA

Practice address

4518 48 St CT E
Tacoma, WA 98443-2568

Phone

(253) 820-4008

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679634653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 48 ST CT E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984432568",
            "telephone_number": "253-820-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 48 ST CT E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984432568",
            "telephone_number": "253-820-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRIDER",
        "first_name": "JUANITA",
        "middle_name": "LOUISE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WA",
            "license": "PT00003609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7125743",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Niles, MS, OTR/L
• Karen W Nilsen, MD
• Aleta A Nims, MA, LMHC, NCC
• Morgan Nims, OTRL
• Kanchan Nirgun
• Conor Nistler
• Brenda Niu, M.D.
• Timothy M Nivala
• Kristen Joelle Nivling Izquierdo, D.BE
• William Howard Nix Jr., ARNP

• Pediatric Physical Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pediatric Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.