Individual provider Active NPI

Nicole Spindle, PT

  • Pediatric Physical Therapist
  • Yuma, AZ
National Provider Identifier
1770979742
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
11395 Issued in AZ
Practice address
3970 W 24TH St
Suite 108
Yuma, AZ 85364-9255
Phone
(928) 783-0555
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 11395 AZ Primary

Addresses

Primary practice location

3970 W 24TH St
Suite 108
Yuma, AZ 85364-9255

Mailing address

3930 W 26TH PL
Yuma, AZ 85364-5946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010002710 NC Practitioner - Physical Therapist in Private Practice 2466712542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Clinic IncGroup PAC ID 7810898970, 4 clinicians

Practice addresses (Care Compare)

26 Office Park Dr
Jacksonville, NC 28546-7325
Phone (910) 577-3355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Clinic Inc CurrentSince Sep 23, 2024 Accepting new patients
Strength Training Inc Pediatrics PastSince Sep 1, 2016 Accepting new patients
Butler Family Chiropractic, PLLC PastSince Sep 23, 2024 Accepting new patients
Strength Training Inc. Past Accepting new patients

Locations

26 Office Park Dr
Jacksonville, NC 28546
Phone (910) 550-0367

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1770979742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 W 26TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST",
            "address_2": "SUITE 108",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649255",
            "telephone_number": "928-783-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINDLE",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "11395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.