Nicole Mariah Nielsen, DPT is a
Physical Therapist - Pediatrics based in Black Diamond, Washington. Nicole Mariah Nielsen is licensed to practice in Washington (license number PT61489620) and her current practice location is
29020 216th Ave Se, Black Diamond, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 854-5660.
NPI number for Nicole Mariah Nielsen is 1447027370 and her current mailing address is 10811 Se Kent Kangley Rd, Kent, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447027370.
Healthcare Provider's Profile
Full Name | Nicole Mariah Nielsen |
---|
Gender | Female |
---|
Speciality | Physical Therapist - Pediatrics |
---|
Location | 29020 216th Ave Se, Black Diamond, Washington |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447027370
- Provider Enumeration Date: 12/11/2023
- Last Update Date: 12/27/2023
Medical Identifiers
Medical identifiers for Nicole Mariah Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447027370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | PT61489620 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Mariah Nielsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Mariah Nielsen, DPT 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 Ph: (253) 854-5660 | Nicole Mariah Nielsen, DPT 29020 216th Ave Se, Black Diamond, WA 98010-1274 Ph: (253) 854-5660 |
Reviews and Comments