Nicolette Woollard, PTA
Individual provider Active NPI Physical Therapy Assistant · Winchester, OH
NPI 1972136091 · NPPES record last updated Feb 17, 2020
Key facts
- NPI
- 1972136091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 19189 State Route 136
Winchester, OH 45697-9800 - Phone
- (937) 515-3186
- NPI assigned
- Feb 17, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
19189 State Route 136
Winchester, OH 45697-9800
Mailing address
19189 State Route 136
Winchester, OH 45697-9800
Other providers in Winchester, OH
- Jennifer Thomas
- Tiffany White
- Winchester Pharmacy, Inc.
- Winchester-Wayne Township Life Squad
- Sabrina Wolfe
All providers in Winchester, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.