Nicholas Dellaflora

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009006 Issued in KY

Practice address

1490 Diederich Blvd
Russell, KY 41169-1719

Phone

(606) 833-9444

Fax

(606) 833-9442

NPI assigned

Aug 7, 2023

Last updated

Apr 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Therapy & Health Centers, Inc.

  • Rehabilitation Clinic/Center
  • Ashland, KY
  • NPI 1124105655
  NPD (past)
• Premier Therapy & Health Centers, Inc.

  • Rehabilitation Clinic/Center
  • Russell, KY
  • NPI 1790862233
  NPD (past)
• Premier Therapy & Health Centers, Inc.

  • Rehabilitation Clinic/Center
  • Portsmouth, OH
  • NPI 1073690509

  Single Specialty

  NPD (past)
• Premier Therapy & Health Centers, Inc.

  • Rehabilitation Clinic/Center
  • Proctorville, OH
  • NPI 1649793886
  NPD (past)

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1700568854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HILLCREST CT",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "411691401",
            "telephone_number": "614-557-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 DIEDERICH BLVD",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "411691719",
            "telephone_number": "606-833-9444",
            "fax_number": "606-833-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456381485",
            "country_code": "US",
            "telephone_number": "740-534-1410",
            "fax_number": "740-534-1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 13th St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411024510",
            "country_code": "US",
            "telephone_number": "606-329-0910",
            "fax_number": "606-325-8434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELLAFLORA",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020669",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Inclusion LLC
• Community Inclusion LLC
• Community Inclusion LLC
• Lane Cullums, DPT
• Lisa Dean, DMD
• Neil Alan Evans, DPT, PHD., OCS, CSCS
• Firm Foundations Salon, Inc. (Firm Foundations Boutique)
• Anita Frazier-Brooks, P.T.
• Michele A Friday, MD
• Ashley Brooke Hall, MD

• Physical Therapist in Russell, KY
• Providers in Russell, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.