Mr. Nicholas A Black, PTA
Physical Therapy Assistant in Lincolnville, Maine
1568827657- Practice location
- 167 Tucker Brook RD, Lincolnville, ME 04849-5528
- Phone
- 207-763-2745
- Fax
- —
- Last updated
- December 16, 2015
Nicholas Andrew Black is a Physical Therapy Assistant based in Lincolnville, ME. Nicholas Andrew Black practices in Lincolnville, ME and has the professional credentials of PTA. The NPI Number for Nicholas Andrew Black is 1568827657 and holds a License No. PA4548 (ME). The current practice location address for Nicholas Andrew Black is 167 Tucker Brook RD, Lincolnville, ME 04849-5528 and can be reached out via phone at 207-763-2745.
Provider Profile Details
- NPI Number
- 1568827657
- Provider Name
- Nicholas Andrew Black
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 167 Tucker Brook RD, Lincolnville, ME 04849-5528
- Phone Number
- 207-763-2745
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 16, 2015
- Last Update Date
- December 16, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 167 Tucker Brook RD
Lincolnville, ME 04849-5528 - City
- Lincolnville
- State
- Maine
- Zip
- 04849-5528
- Phone Number
- 207-763-2745
Provider Business Mailing Address Details
- Address
- 167 Tucker Brook RD
Lincolnville, ME 04849-5528 - City
- Lincolnville
- State
- ME
- Zip
- 04849-5528
- Phone Number
- 207-763-2745
License Information
- License Number
- PA4548
- License State
- ME
- Taxonomy
- Physical Therapy Assistant · 225200000X · 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 Mr. Nicholas A Black, PTA?
The NPI number of Mr. Nicholas A Black, PTA is 1568827657. It was assigned on December 16, 2015 and is currently active in the NPPES registry.
What is the specialty of Mr. Nicholas A Black, PTA?
Mr. Nicholas A Black, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in ME under license number PA4548.
Where does Mr. Nicholas A Black, PTA practice?
The practice location is 167 Tucker Brook RD, Lincolnville, ME 04849-5528. The office can be reached at 207-763-2745 (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 1568827657 directly on the NPPES registry website.