NICHOLE JEAN BURGESS LMT
NPI 1447880778
Massage Therapist in Fort Wayne, IN

Q: What is Nichole Burgess's NPI number?

The NPI number for Nichole Burgess is 1447880778. It was assigned to this individual provider in the NPPES registry on January 26, 2020.

Q: What is Nichole Burgess's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Burgess was last updated on January 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 26, 2020

1230 RUSTON PASS STE B, FORT WAYNE, IN 46825(260) 797-6100 Get Directions Write a Review

NPPES record last updated: January 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nichole Jean Burgess Lmt NPPES

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

NICHOLE JEAN BURGESS LMT (NPI 1447880778) is an individual massage therapist in Fort Wayne, Indiana, licensed in Indiana (MT22007086) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1447880778

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameNICHOLE JEAN BURGESSCredential: LMT

Location Address1230 RUSTON PASS STE BFort Wayne, IN 46825-1572

Mailing Address1230 Ruston Pass Ste BFort Wayne, IN 46825-1572 · (260) 797-6100

Phone(260) 797-6100

Sole ProprietorNo

Enumeration DateJanuary 26, 2020

✔ NPI 1447880778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in IN · MT22007086

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

1230 RUSTON PASS STE B, Fort Wayne, IN 46825

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA WRIGHT

Massage Therapist

1230 RUSTON PASS STE B
FORT WAYNE, IN 46825

Allen County (360) 201-7718

LORA STRONG

Massage Therapist

1230 RUSTON PASS STE B
FORT WAYNE, IN 46825

Allen County (260) 797-6100

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 Nichole Burgess's NPI number?

The NPI number for Nichole Burgess is 1447880778. It was assigned to this individual provider in the NPPES registry on January 26, 2020.

Where is Nichole Burgess located?

Nichole Burgess practices at 1230 Ruston Pass Ste B, Fort Wayne, IN 46825. The listed phone number is (260) 797-6100.

What is Nichole Burgess's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Nichole Burgess was last updated on January 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.