Nicole Emily Nave

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2125 Issued in CT

Practice address

84 Oxford Rd
RT 67
Oxford, CT 06478-1971

Phone

(203) 881-0830

Fax

(203) 881-0894

NPI assigned

Nov 23, 2020

Last updated

Nov 24, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Access Rehab Centers, LLC

  • Rehabilitation Clinic/Center
  • Waterbury, CT
  • NPI 1033293691

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1891399770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 STRAITS TPKE STE 300",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621836",
            "telephone_number": "203-598-0600",
            "fax_number": "203-598-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 OXFORD RD",
            "address_2": "RT 67",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781971",
            "telephone_number": "203-881-0830",
            "fax_number": "203-881-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVE",
        "first_name": "NICOLE",
        "middle_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DC",
            "license": "2125",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "2125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Laurel Wellness LLC
• Sutanya Noelle Mullings, M.S. CCC-SLP
• Shyla D. Muriel, M.D.
• Julie Rebecca Murphy, ATC
• Stacey-Jo Murray, APRN
• Jennifer L Nelson, APRN
• Shannon Nelson
• New Life Integrated Health
• Jennifer O'Connor
• Kaleigh O'Donnell-Birch, MOT, OTR/L

• Physical Therapy Assistant in Oxford, CT
• Providers in Oxford, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.