Tracy K Nible, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0014952 Issued in CO

Practice address

1401 Phay Ave
Canon City, CO 81212-2303

Phone

(719) 275-8656

NPI assigned

Apr 2, 2021

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

Electronic endpoints 1

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1972182582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 STRATMOOR DR",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129340",
            "telephone_number": "719-406-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122303",
            "telephone_number": "719-275-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBLE",
        "first_name": "TRACY",
        "middle_name": "K",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0014952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tnible@genesishcc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1401 Phay Ave",
            "city": "Canon City",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812122303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Nelson, RN
• Leslie Nelson, FNP
• Kristina Chambers Neumyer, MS
• New Beginnings Counseling, LLC
• Cynthia June Newberry, RDH
• April Nichols, MA
• Austin Noe, MSW
• Brian W Norbury, APN
• Northwest Colorado Emergency Physicians
• Northwest Fremont EMS, Inc.

• Physical Therapy Assistant in Canon City, CO
• Providers in Canon City, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.