WANDA KAY AGENT NICHOLSON (NPI# 1902056740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902056740 |
| Entity Type | Individual |
| Full Name | WANDA KAY AGENT NICHOLSON |
| Credential | PT |
| Practice Address |
283 W Broadway Blvd Jefferson City TN 37760-2302 |
| Mailing Address |
166 Sequoiah Ln Jefferson City TN 37760-3428 |
| Practice Telephone | 8654759967 |
| Mailing Telephone | 8654759967 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT564 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467522854 | Wanda K Nicholson | Obstetrics & Gynecology | 101 Manning Drive, Unc Hospitals, Chapel Hill, NC 27514 | 2006-11-09 |
| Street Address |
283 W BROADWAY BLVD |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104896745 | Timothy Wayne Davis | Social Worker | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2006-01-25 |
| 1316425721 | Jenna Marie Frost | Nurse Practitioner | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2018-07-30 |
| 1124278932 | Melissa Seals | Physical Therapy Assistant | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2008-09-29 |
| 1376614164 | Jefferson Operator LLC | Skilled Nursing Facility | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1710407457 | David Vernon Nelson | Physical Therapist | 1739 Elm Ct Ste 205206, Jefferson City, MO 65101-4303 | 2017-06-23 |
| 1790224582 | Amber Nicole Day | Physical Therapist | 646 E Broadway Blvd, Jefferson City, TN 37760-4900 | 2017-02-14 |
| 1386199792 | Amber Mcdonald | Physical Therapist | 2701 W Edgewood Dr Ste 105, Jefferson City, MO 65109-5890 | 2016-08-16 |
| 1205286119 | Cole Jeremiah Darnel | Physical Therapist | 2312 Liberty Ln, Jefferson City, MO 65109-6016 | 2016-06-21 |
| 1093066532 | Ian James Bacolod | Physical Therapist | 139 N Capistrano Dr, Jefferson City, MO 65109-6179 | 2012-09-24 |
| 1013284215 | Jennifer Jo Schnieders | Physical Therapist | 222 Dalwhinne Waye, Jefferson City, MO 65101-8287 | 2011-11-17 |
| 1518234681 | Outbound Rehabilitation & Wellness LLC | Physical Therapist | 1739 Elm Ct Ste 206, Jefferson City, MO 65101-4303 | 2011-11-17 |
| 1427386200 | Mossy Creek Rehab | Physical Therapist | 1405 S Sizer Ave, Jefferson City, TN 37760-2436 | 2009-12-06 |
| 1952639916 | Robert Allen Matijevich | Physical Therapist | 1405 S Sizer Ave Ste B, Jefferson City, TN 37760-2436 | 2009-12-02 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
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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.