DEBRA RENAE NICKOLI PT
NPI 1184989964
Physical Therapist - Pediatrics in Chicago, IL
- Individual
- Female
- Physical Therapist
- Pediatrics
About DEBRA NICKOLI
This page provides the complete NPI Profile along with additional information for Debra Nickoli, a provider established in Chicago, Illinois with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1184989964 assigned on July 2012. The practitioner's primary taxonomy code is 2251P0200X with license number 070018390 (IL). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1184989964 Verify this NPI
- Provider Name
- DEBRA RENAE NICKOLI PT
- Other Name
- DEBRA RENAE NICKOLI
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 401 E ONTARIO ST APT 4003 CHICAGO, IL 60611
- Location Phone
- (614) 668-6237
- Mailing Address
- 401 E ONTARIO ST APT 4003 CHICAGO, IL 60611
- Mailing Phone
- (614) 668-6237
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-09-2012
- Last Update Date
- 07-09-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 070018390
- License State
- IL
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184989964, enumerated as an "individual" on July 09, 2012.
The provider is located at 401 E ONTARIO ST APT 4003 CHICAGO, IL 60611 and the phone number is (614) 668-6237.
Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.
