WANDA KAY AGENT NICHOLSON PT
NPI 1902056740
Physical Therapist in Jefferson City, TN

Active since September 29, 2008
283 W BROADWAY BLVD, JEFFERSON CITY, TN 37760(865) 475-9967 Get Directions Write a Review

NPPES record last updated: October 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wanda Kay Agent Nicholson Pt NPPES

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

WANDA KAY AGENT NICHOLSON PT (NPI 1902056740) is an individual physical therapist in Jefferson City, Tennessee, licensed in Tennessee (PT564) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1902056740
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameWANDA KAY AGENT NICHOLSONCredential: PT
Location Address283 W BROADWAY BLVDJefferson City, TN 37760-2302
Mailing Address166 Sequoiah LnJefferson City, TN 37760-3428 · (865) 475-9967
Sole ProprietorYes
Enumeration DateSeptember 29, 2008
Last NPPES UpdateOctober 5, 2008
NPI 1902056740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in TN · PT564
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
283 W BROADWAY BLVD, Jefferson City, TN 37760

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Physical Therapy Assistant
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Nurse Practitioner (Psychiatric/Mental Health)
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Skilled Nursing Facility
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Speech-Language Pathologist
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Physical Therapist
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Occupational Therapist
283 W BROADWAY BLVD
JEFFERSON CITY, TN 37760

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 Wanda Nicholson's NPI number?

The NPI number for Wanda Nicholson is 1902056740. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Where is Wanda Nicholson located?

Wanda Nicholson practices at 283 W Broadway Blvd, Jefferson City, TN 37760. The listed phone number is (865) 475-9967.

What is Wanda Nicholson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Wanda Nicholson was last updated on October 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.