| Nicole Tucker, DPT | |
|
65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 | |
| (385) 308-8034 | |
| Not Available |
| Full Name | Nicole Tucker |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 15 Years |
| Location | 65 E Wadsworth Park Dr Ste 230, Draper, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568802817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 047406-01 (New York) | Primary |
| 225100000X | Physical Therapist | 2305207281 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Llc | 2769723162 | 419 |
| Empowerme Rehabilitation Llc | 2769723162 | 419 |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20120830000086 |
| Provider Name | Empowerme Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1881366730 PECOS PAC ID: 2769723162 Enrollment ID: O20211019001479 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Tucker, DPT 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 Ph: (385) 308-8034 | Nicole Tucker, DPT 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 Ph: (385) 308-8034 |
Thomas J Tardif, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034 | |
Cristina Cerrone, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070 | |
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Justin Guillot, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 Fax: 385-308-8034 |