Nicole Marie Nelson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 60027033 Issued in WA

Practice address

4160 86TH Ave SE
Mercer Island, WA 98040-4121

Phone

(509) 460-0821

NPI assigned

Jul 1, 2008

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

Other identifiers 1

Other names 1

• Nicole Marie Dahl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1972765816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 86TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404121",
            "telephone_number": "509-460-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 86TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404121",
            "telephone_number": "509-460-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60027033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7098452",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DAHL",
            "middle_name": "MARIE",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dorthe H Mullins, RDH
• Nadeem Merchant DMD, PS
• Rebecca Nebel, ARNP
• Jodi Negrin
• Neil F Schneider MD Inc PS (Summit Radiology)
• Patricia Rae Nelson, LMT
• New Hope Healthcare Systems - Mercer LLC
• Brenda L Newman, M.D., PH.D.
• Yin Hei NG, L.AC.
• Thucuc Thi-Thu Nguyen, M.D.

• Physical Therapist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.