WENDY LEE NICHOLLLS (NPI# 1356823058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356823058 |
| Entity Type | Individual |
| Full Name | WENDY LEE NICHOLLLS |
| Other Name | WENDY LEE NICHOLLS |
| Credential | PTA |
| Practice Address |
4949 Coolidge Hwy Royal Oak MI 48073-1026 |
| Mailing Address |
1235 Barneswood Ln Rochester Hills MI 48306-4113 |
| Practice Telephone | 2486555660 |
| Practice Fax Number | 2486555662 |
| Mailing Telephone | 5862466282 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
5502000828 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4949 COOLIDGE HWY |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907112 | Thomas A Mladsi | Internal Medicine | 4949 Coolidge Hwy, Royal Oak, MI 48073 | 2005-10-28 |
| 1063040160 | Lauren Salens | Occupational Therapist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2020-04-01 |
| 1598395782 | Marina Bacus | Physical Therapist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2020-01-16 |
| 1528603834 | Kassandra L Lewan | Physical Therapist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2019-11-11 |
| 1861058869 | Kristen Ross | Counselor | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2019-05-15 |
| 1881165587 | Erica Little | Physical Therapist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2018-12-07 |
| 1770053662 | Lisa Marie Mammoser | Speech-Language Pathologist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2018-12-04 |
| 1235609868 | Jennifer Elaine Maurer | Speech-Language Pathologist | 4949 Coolidge Hwy, Royal Oak, MI 48073 | 2018-11-27 |
| 1144798919 | Elisabeth Kay-fischer Mccourt | Speech-Language Pathologist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2018-11-09 |
| 1275001281 | Kristine Rutkowski | Speech-Language Pathologist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194886887 | Neal M. Alpiner, M.d., Pllc | Physical Medicine & Rehabilitation | 40800 Woodward Ave, Bloomfield Hills, MI 48304-5060 | 2006-12-13 |
| 1093720815 | Andrea S Kuldanek | Physical Medicine & Rehabilitation | 3350 Eagle Park Dr Ne, Suite 108, Grand Rapids, MI 49525-4570 | 2006-07-30 |
| 1821194317 | Kenneth E Fox | Physical Medicine & Rehabilitation | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2006-09-15 |
| 1730116682 | Eileen Marie Donovan | Physical Medicine & Rehabilitation | 18501 Rotunda Dr Ste 200, Dearborn, MI 48124-3891 | 2006-06-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.