Individual provider · Type 1 NPI
Dominique Kiara Nickens
Physical Therapy Assistant · Broadview Heights, OH
Practice location
9500 Broadview Rd
Broadview Heights, OH 44147-2302
Mailing address
6511 Marsol Rd Apt 122
Mayfield Heights, OH 44124-3542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA013747 (OH) |
Physical Therapy Assistant: (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 Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
Another provider at this address
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About NPI 1093619439
Dominique Kiara Nickens's National Provider Identifier is 1093619439, issued on Oct 7, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Broadview Heights, OH. The record was last updated on Oct 7, 2026.