Nicole Henline in Fort Wayne - Physical Therapy Assistant
Nicole Henline - NPI 1811176563
Nicole Henline is a Physical Therapy Assistant in Fort Wayne, Indiana. Nicole Henline practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Nicole Henline is 1811176563. The last update date is 2007-10-30.
Nicole Henline's current location address is 10443 Illinois Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2606255005. The mailing address for Nicole Henline is 10443 Illinois Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Henline |
|---|---|
| Address | 10443 Illinois Rd, Fort Wayne, Indiana |
| Phone Number | 2606255005 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1811176563 |
|---|---|
| Provider Enumeration Date | 2007-10-30 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 10443 Illinois Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468149181 |
| Phone Number | 2606255005 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 06002875A |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 06002875A | IN | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Nicole Henline by the Centers for Medicare & Medicaid Services (CMS)?
The Nicole Henline has been assigned the NPI (National Provider Identifier) 1811176563. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Nicole Henline's facilities are situated?
The facilities of Nicole Henline are physically located at the following address: 10443 Illinois Rd, Fort Wayne, IN, 468149181.
What is Nicole Henline's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nicole Henline's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.
On what date did Nicole Henline receive its 1811176563 assignment from the Centers for Medicare & Medicaid Services?
The Nicole Henline was assigned its 1811176563 on 2007-10-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Nicole Henline, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nicole Henline, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-30.