NICOLE TIRA MED, LAT, ATC
NPI 1235905266
Neuromusculoskeletal Medicine, Sports Medicine in Fayetteville, AR

Q: What is Nicole Tira's NPI number?

The NPI number for Nicole Tira is 1235905266. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Q: What is Nicole Tira's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Tira was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2023

10 S RAZORBACK RD, FAYETTEVILLE, AR 72701(479) 249-7823 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Tira Med, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE TIRA MED, LAT, ATC (NPI 1235905266) is an individual neuromusculoskeletal medicine, sports medicine provider in Fayetteville, Arkansas, licensed in Arkansas (AT778) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1235905266

Entity TypeIndividualFemale

Primary Taxonomy204C00000X

Provider Legal NameNICOLE TIRACredential: MED, LAT, ATC

Location Address10 S RAZORBACK RDFayetteville, AR 72701

Mailing Address10 S Razorback RdFayetteville, AR 72701 · (479) 249-7823

Phone(479) 249-7823

Sole ProprietorNo

Enumeration DateNovember 30, 2023

NPPES CertifiedNovember 28, 2023

✔ NPI 1235905266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

License✔ Licensed in AR · AT778

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

10 S RAZORBACK RD, Fayetteville, AR 72701

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Tira's NPI number?

The NPI number for Nicole Tira is 1235905266. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Nicole Tira located?

Nicole Tira practices at 10 S Razorback Rd, Fayetteville, AR 72701. The listed phone number is (479) 249-7823.

What is Nicole Tira's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Nicole Tira was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.