Vicki Nicklas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1500 S Main St
Fort Worth, TX 76104-4917

Phone

(817) 852-8700

NPI assigned

Aug 29, 2006

Last updated

Mar 23, 2008By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206230400000",
    "number": "1760591366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 BRADLEY LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174117",
            "telephone_number": "817-563-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-852-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLAS",
        "first_name": "VICKI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "1127520",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramona Nicholson
• Nick Le DDS PLLC
• Christine Ragnauth Nickerson, MA, LPC
• Jena Suzanne Nickerson, BCBA LBA-TX
• Toyree Nickerson
• Alford Frederick Nicol
• Nancy Carolina Nicoloso, NP-C
• Derek Nieber, M.D.
• Brigette Ann Nielsen
• Curtis Nielsen, CRNA, DNP

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; 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.