Individual provider Active NPI

Nicole Bick

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1912600420
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
203 Berry St
Brooklyn, NY 11249-3114
Phone
(646) 875-9348
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 049747 NY
Physical Therapist 225100000X Primary

Addresses

Primary practice location

203 Berry St
Brooklyn, NY 11249-3114

Mailing address

203 Berry St
Brooklyn, NY 11249-3114

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
049747NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Club Inc Physical Therapist CurrentSince Apr 15, 2023 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Kellen Ryan Scantlebury Physical Therapy PLLC Physical Therapist CurrentSince Jan 16, 2025 Accepting new patients

Locations

203 Berry St
Brooklyn, NY 11249
Phone (646) 875-8348

153 W 27th St
Ste 1204
New York, NY 10001
Phone (646) 875-8348

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1912600420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BERRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BERRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493114",
            "telephone_number": "646-875-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICK",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "049747",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.