Nicole Anne Pontier, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

00836 Issued in IA

Practice address

1507 N 1St St
Indianola, IA 50125-3703

Phone

(515) 961-7435

Fax

(515) 961-7436

NPI assigned

Sep 20, 2010

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

Other names 1

• Ms. Nicole Anne Silver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 21St Century Rehab PC

  dba Indianola Physical Therapy

  • Rehabilitation Clinic/Center
  • Indianola, IA
  • NPI 1174783583
  NPD (past)
• 21St Century Rehab PC

  • Rehabilitation Clinic/Center
  • Madrid, IA
  • NPI 1407016819
  NPD (past)

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1881902245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502010461",
            "telephone_number": "515-382-3366",
            "fax_number": "515-382-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 N 1ST ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253703",
            "telephone_number": "515-961-7435",
            "fax_number": "515-961-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTIER",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "00836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SILVER",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sue Marie Peterson, MA LAT
• Warren Howard Peterson, O.D.
• Holly Pfeifer, DR
• Abigail Pilkington
• Jeremy Allen Pins, DDS
• Marissa Ramos
• Jelena Raus May, ARNP
• Real Optics Inc (Vogue Vision in Indianola)
• Jeff Reding
• Richard L. Nelson, O.D. P.L.C.

• Athletic Trainer in Indianola, IA
• Providers in Indianola, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.