Debra Anne McNicholas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

004097-1 Issued in NY

Practice address

11 Murray Hill Dr
Mount Morris, NY 14510-1153

Phone

(585) 243-7223

NPI assigned

Dec 15, 2006

Last updated

Jul 8, 2007By 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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962564831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5997 FEDERAL RD",
            "city": "CONESUS",
            "state": "NY",
            "postal_code": "144359578",
            "telephone_number": "585-346-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MURRAY HILL DR",
            "city": "MOUNT MORRIS",
            "state": "NY",
            "postal_code": "145101153",
            "telephone_number": "585-243-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLAS",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004097-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Elizabeth Marie
• Lois Claudia Martel, RPH
• Lisa Nicole Martinez
• Deb May
• Joann Louise McKeown
• Judy S Meyers
• Hannea Deborah Milliman, LMSW
• Kelly Mirrione, MSED
• Michele Moodie, MSED
• Brenda Margaret Moore, LPN

• Physical Therapy Assistant in Mount Morris, NY
• Providers in Mount Morris, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.