Nicole Fellows, PT
Physical Therapist in Myrtle Beach, South Carolina
1205389871- Practice location
- 491 Cattle Drive Cir Ste 3, Myrtle Beach, SC 29588-3732
- Phone
- 309-360-2480
- Fax
- —
- Last updated
- August 8, 2023
Nicole Fellows is a Physical Therapist based in Myrtle Beach, SC. Nicole Fellows practices in Myrtle Beach, SC and has the professional credentials of PT. The NPI Number for Nicole Fellows is 1205389871 and holds a License No. 11957 (SC). The current practice location address for Nicole Fellows is 491 Cattle Drive Cir Ste 3, Myrtle Beach, SC 29588-3732 and can be reached out via phone at 309-360-2480.
Provider Profile Details
- NPI Number
- 1205389871
- Provider Name
- Nicole Fellows
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 491 Cattle Drive Cir Ste 3, Myrtle Beach, SC 29588-3732
- Phone Number
- 309-360-2480
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 29, 2016
- Last Update Date
- August 8, 2023
- Certification Date
- August 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 491 Cattle Drive Cir Ste 3
Myrtle Beach, SC 29588-3732 - City
- Myrtle Beach
- State
- South Carolina
- Zip
- 29588-3732
- Phone Number
- 309-360-2480
Provider Business Mailing Address Details
- Address
- 491 Cattle Drive Cir Ste 3
Myrtle Beach, SC 29588-3732 - City
- Myrtle Beach
- State
- SC
- Zip
- 29588-3732
- Phone Number
- 309-360-2480
License Information
- License Number (1)
- 11957
- License State (1)
- SC
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 11044
- License State (2)
- CT
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nicole Fellows, PT?
The NPI number of Nicole Fellows, PT is 1205389871. It was assigned on July 29, 2016 and is currently active in the NPPES registry.
What is the specialty of Nicole Fellows, PT?
Nicole Fellows, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in SC under license number 11957.
Where does Nicole Fellows, PT practice?
The practice location is 491 Cattle Drive Cir Ste 3, Myrtle Beach, SC 29588-3732. The office can be reached at 309-360-2480 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205389871 directly on the NPPES registry website.