Individual provider Active NPI

Nicholas Kent Pooler, PT

  • Physical Therapist
  • Altamonte Springs, FL
National Provider Identifier
1780080671
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19064 Issued in FL
Practice address
220 E Central Pkwy Ste 2070
Altamonte Springs, FL 32701-3419
Phone
(407) 647-5008
Fax
(407) 647-5299
NPI assigned
Nov 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19064 FL Primary

Addresses

Primary practice location

220 E Central Pkwy Ste 2070
Altamonte Springs, FL 32701-3419

Mailing address

220 E Central Pkwy Ste 2070
Altamonte Springs, FL 32701-3419
Phone (407) 647-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT19064FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Home Care Group, LLC Current Accepting new patients
Nirvana Health Services, Inc. Past Accepting new patients
Nirvana Health Services, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1780080671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E CENTRAL PKWY STE 2070",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013419",
            "telephone_number": "407-647-5008",
            "fax_number": "407-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E CENTRAL PKWY STE 2070",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013419",
            "telephone_number": "407-647-5008",
            "fax_number": "407-647-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLER",
        "first_name": "NICHOLAS",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.