MRS. NICOLE CARVACHO (NPI# 1568875318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568875318 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE CARVACHO |
| Credential | PT, MS |
| Practice Address |
17480 North Dallas Tollway Addison TX 75287 |
| Mailing Address |
305 Ne Loop 280 Business Tower 1 Suite 200 Hurst TX 76053 |
| Practice Telephone | 2146235900 |
| Practice Fax Number | 2146235901 |
| Mailing Telephone | 8172928787 |
| Mailing Fax Number | 8177896849 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1211128 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
17480 NORTH DALLAS TOLLWAY |
| City | ADDISON |
| State | TX |
| Zip Code | 75287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356846307 | Personal Health Assessment | Internal Medicine | 18320 Michael Angelo Drive, Dallas, TX 75287 | 2018-03-29 |
| 1275051807 | Vermelle Minor | Prosthetist | 4341 Horizon Pkwy 132, Dallas, TX 75287 | 2017-09-04 |
| 1831629625 | Tumikee Perry | Counselor | 2903 Renaissance Circle, Dallas, TX 75287 | 2017-06-14 |
| 1326594177 | Sweta Sheth Dds | Dentist | 18217 Midway Road #122, Dallas, TX 75287 | 2016-08-31 |
| 1003288259 | Hamid Reza Pirnajmedin | Specialist/Technologist, Other | 4808 Haverwood Ln Apt 1236, Dallas, TX 75287 | 2015-10-28 |
| 1013307313 | Kaelee Rae Kail | Occupational Therapist | 17480 Dallas Pkwy # 400, Dallas, TX 75287 | 2015-01-26 |
| 1326451873 | Holly Davis | Speech-Language Pathologist | 17480 North Dallas Parkway, Suite 221, Dallas, TX 75287 | 2014-06-03 |
| 1033520077 | Tammy Duran | Non-emergency Medical Transport (VAN) | 3653 Briargrove Lane, 1513, Dallas, TX 75287 | 2014-05-13 |
| 1518393206 | Cole Wellness Center | Home Health | 4820 Sea Pine, Dallas, TX 75287 | 2013-09-25 |
| 1518210863 | Angela Patricia Dimaano-stenson | Counselor | 4331 Hollow Oak Dr., Dallas, TX 75287 | 2012-10-24 |
| Find all providers in zip 75287 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578791133 | Marlo A. Woodhouse | Physical Therapist | 7 Park Pl, Addison, NY 14801-1148 | 2009-06-22 |
| 1881106938 | Brittani Mills | Physical Therapist | 15820 Addison Rd, Addison, TX 75001-3549 | 2017-10-30 |
| 1912419045 | Kelli Hernandez | Physical Therapist | 15820 Addison Rd, Addison, TX 75001-3549 | 2017-10-30 |
| 1679085062 | Karli Krystal Powers | Physical Therapist | 15820 Addison Rd, Addison, TX 75001-3549 | 2017-10-25 |
| 1447595525 | Meredith Johnston Salge | Physical Therapist | 4530 Beltway Dr, Addison, TX 75001-3707 | 2012-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271472 | Brain & Body Boost, LLC | Physical Therapist | 4360 Bristleleaf Ln, Prosper, TX 75078-1218 | 2020-09-25 |
| 1871108019 | Tu Khai Le | Physical Therapist | 13503 Parkstone View Cir, Houston, TX 77083-1820 | 2020-09-14 |
| 1518572171 | Kathryn Elizabeth Hill | Physical Therapist | 8603 Broadway St Ste 170, Pearland, TX 77584-8171 | 2020-09-10 |
| 1730797838 | Sara Burris | Physical Therapist | 2424 Wilcrest Dr Ste 109, Houston, TX 77042-2761 | 2020-07-15 |
| 1043838204 | Tiffany Ainsworth | Physical Therapist | 5454 Newcastle St Apt 232, Houston, TX 77081-2259 | 2020-07-13 |
| 1811510597 | Amanda Medina Calimbas | Physical Therapist | 1019 Warm Summer Dr, Richmond, TX 77406-2732 | 2020-05-28 |
| 1720600513 | Ll Pediatric Therapy LLC | Physical Therapist | 11200 Lakeline Mall Dr Ste Do5a, Cedar Park, TX 78613-1501 | 2020-05-14 |
| 1922620822 | Toddler Town Rehab, LLC | Physical Therapist | 5219 S Mccoll Rd Ste D, Edinburg, TX 78539-3168 | 2020-05-13 |
| 1083240790 | Assiduous Healthcare Group, LLC | Physical Therapist | 1300 Lowe Rd Unit 1301, Mansfield, TX 76063-8725 | 2020-03-14 |
| 1245865823 | Brandon Krinock | Physical Therapist | 12349 Metric Blvd Apt 1125, Austin, TX 78758-2537 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
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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.