Michelle Maria Nichols, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

601 S 8TH St
Tacoma, WA 98405-4614

Phone

(253) 571-1096

NPI assigned

Dec 3, 2019

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1780221218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BIRCH ST STE 3000",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602140",
            "telephone_number": "888-835-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 8TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054614",
            "telephone_number": "253-571-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MICHELLE",
        "middle_name": "MARIA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Nice, RN
• Christopher Mead Nichols, M.D.
• Dennis Darrel Nichols, M.D.
• Jane M. Nichols, P.T.
• Joel M Nichols, D.D.S.
• Nicole Elaine Nichols, MA00006680
• Sarah Grace Nichols, RN, MSN, CCM
• Stefani Doreen Nichols, RN
• Gary Warner Nicholson, ATC
• Kerrich Nicholson, LPN

• Physical Therapy Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.