Natasha L Nicolai, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010166 Issued in WA

Practice address

5297A College Ave
Oakland, CA 94618-1462

Phone

(510) 547-1630

Fax

(510) 923-1944

NPI assigned

Jul 17, 2006

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.

• Sports & Orthopedic Leaders Physical Therapy, Inc

  • Physical Therapist
  • Oakland, CA
  • NPI 1013981760
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1710904420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5297A COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181462",
            "telephone_number": "510-547-1630",
            "fax_number": "510-923-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5297A COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181462",
            "telephone_number": "510-547-1630",
            "fax_number": "510-923-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAI",
        "first_name": "NATASHA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D. Jeanette Nichols
• Scott Lee Nickell, MSN, FNP
• Esther Yoon Nickelson, FNP-C
• John Thomas Nickens, PHD
• Lena Nicodemus, MA, LMFT
• Arrian Tolentino Nicolas
• Heidi Gayle Nicoll-Merson, MD
• Anna S Nidhiry, DO
• Niekia M. Franklin, DDS, MSD, Inc.
• Rachel Lauren Nielsen

• Physical Therapist in Oakland, CA
• Providers in Oakland, 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 26, 2009; 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.