Nicole Badour

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1835-019 Issued in WI

Practice address

531 Giddings Ave
Sheboygan Falls, WI 53085-1707

Phone

(920) 550-5254

NPI assigned

Jan 3, 2014

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

State licenses

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1821419110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 GIDDINGS AVE",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851707",
            "telephone_number": "920-550-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 GIDDINGS AVE",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851707",
            "telephone_number": "920-550-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADOUR",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1835-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Aguirre, RN
• Aurora Medical Group, Inc.
• Badger Optical of Sheboygan Inc
• Anna C Birkholz, LPN
• Cari Ann Bollweg, D.O.
• Jacquelyn Brugger, PHARMD, RPH
• Danielle Cantu
• Natalie Carriere, LCSW

• Physical Therapy Assistant in Sheboygan Falls, WI
• Providers in Sheboygan Falls, WI by specialty
• Physical Therapy Assistant in Wisconsin

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