Active NPI
Daphne Nicholson Nutter, PTA
- Physical Therapy Assistant
- Rome, GA
National Provider Identifier
1801307889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 001168
- Practice address
- 7926 Alabama Hwy NW
Rome, GA 30165-6784 - Phone
- (678) 918-6544
- Fax
- (678) 918-6544
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001168 | GA | Primary |
Addresses
Primary practice location
7926 Alabama Hwy NW
Rome, GA 30165-6784
Mailing address
7926 Alabama Hwy NW
Rome, GA 30165-6784
Phone (678) 918-6544
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001168 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1801307889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7926 ALABAMA HWY NW",
"city": "ROME",
"state": "GA",
"postal_code": "301656784",
"telephone_number": "678-918-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7926 ALABAMA HWY NW",
"city": "ROME",
"state": "GA",
"postal_code": "301656784",
"telephone_number": "678-918-6544",
"fax_number": "678-918-6544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUTTER",
"first_name": "DAPHNE",
"middle_name": "NICHOLSON",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "001168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, GA
- Northwest Georgia Medical Clinic 2LLC
- Northwest Georgia Medical Clinic, P.C.
- Northwest Georgia Psychological Associates, LLC
- Northwest Georgia Regional Commission Area Agency
- Novus Orthodontics of Georgia LLC
- NW Ga Regional Hospital
- NW Ga Regional Hospital
- NW Ga Regional Hospital
- NW Ga Regional Hospital
- NW Ga Regional Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.