Nicole Tubbs

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9324767-2402 Issued in UT

Practice address

2400 North Washington Blvd.
Physical Therapy
North Ogden, UT 84414-7367

Phone

(801) 786-7700

NPI assigned

Jun 17, 2016

Last updated

Jun 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1881044063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NORTH WASHINGTON BLVD.",
            "address_2": "PHYSICAL THERAPY",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147367",
            "telephone_number": "801-786-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NORTH WASHINGTON BLVD.",
            "address_2": "PHYSICAL THERAPY",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147367",
            "telephone_number": "801-786-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "9324767-2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent T. Suisse, D.D.S.
• Nicole Rae Summers, DO
• Kimberly Michelle Thornsberry, LPC
• TMJ Therapy, Inc
• Tree of Life Counseling Center
• Daniel Colin Wadsworth, FNP-C
• Walgreen Co (Walgreens #10820)
• Marc Michael Wangsgard, D.O.
• Wasatch Personal Care Inc. (Wasatch Home Helpers and Direct Link)
• Wayment Endodontics

• Physical Therapy Assistant in North Ogden, UT
• Providers in North Ogden, UT by specialty
• Physical Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.