Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EVERETT NICOLAI III, DPT
ActiveMR. EVERETT NICOLAI III, DPT is a Physical Therapy Assistant healthcare provider located in TIGARD, Oregon. NPI 1639263718 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · TIGARD, OR
Registration Details
- NPI Number
- 1639263718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.878843541132 yrs)
- Last Updated
- Jul 31, 2023
- Licenses
-
00010235 (WA)64923 (OR)
Practice Information
- Address
-
9735 SW SHADY LN STE 203TIGARD, OR, 972235481Browse OR providers · Browse ZIP 97223
- Phone
- 5032231856
- Fax
- 5032231765
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| DR. MAKINDRA L. FITTON | DPT | 1679548465 |
| MRS. LYNNE R MARSHALL-BROOK | MSPT | 1134196694 |
| MR. JAMES R SCHEURING | PT | 1336118793 |
| KRISTEN TERVO | PT | 1063474641 |
| NOEL L BAIER | PT | 1023069325 |
| DIANE O. SHIFFER | PT | 1598708919 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.