Provider Demographics
NPI:1396291654
Name:PATTERSON, NIKEA MONET (PT, DPT, CSRS)
Entity type:Individual
Prefix:
First Name:NIKEA
Middle Name:MONET
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:PT, DPT, CSRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 MONTGOMERY HWY # 342
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1800
Mailing Address - Country:US
Mailing Address - Phone:678-596-4692
Mailing Address - Fax:
Practice Address - Street 1:1459 RIVER WALK CIR
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-6811
Practice Address - Country:US
Practice Address - Phone:678-596-4692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH 5903225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist