Violet Nissen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1480 8TH St
West Plains, MO 65775-2010

Phone

(417) 256-5669

Fax

(417) 256-5699

NPI assigned

May 31, 2017

Last updated

Feb 12, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: violethampton@ptsci.allscriptsdirect.net

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.

• Physical Therapy Specialist Clinic, Inc.

  • Physical Therapist
  • West Plains, MO
  • NPI 1659312619

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1992233233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 8TH ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 8TH ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752010",
            "telephone_number": "417-256-5669",
            "fax_number": "417-256-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 N Main St",
            "address_purpose": "LOCATION",
            "city": "Mountain Grove",
            "state": "MO",
            "postal_code": "657111025",
            "country_code": "US",
            "telephone_number": "417-926-5699",
            "fax_number": "417-926-5703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1480 8th St",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752010",
            "country_code": "US",
            "telephone_number": "417-256-5669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISSEN",
        "first_name": "VIOLET",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY LICENSE",
            "identifier": "2017016508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newton's Group Home of West Plains, Inc.
• NHC Healthcare-West Plains LLC
• Rebecca Jo Nicholson, MS, LPC
• Anum Nida, MD
• Tianna Niesen, LCSW
• Thomas C Nixon, LCSW
• William Nunnery
• Oakwood Life-Sharing Services, Inc.
• Kellie Okello
• Omc Breast Care (Ozarks Medical Center)

• Physical Therapy Assistant in West Plains, MO
• Providers in West Plains, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.