Provider Demographics
NPI:1649034364
Name:CARIO, NIKOLE KAILA (PTA)
Entity type:Individual
Prefix:
First Name:NIKOLE
Middle Name:KAILA
Last Name:CARIO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-3916
Mailing Address - Country:US
Mailing Address - Phone:216-339-9659
Mailing Address - Fax:
Practice Address - Street 1:9205 W SPRAGUE RD
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-1286
Practice Address - Country:US
Practice Address - Phone:440-558-2370
Practice Address - Fax:440-754-3410
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPTA010540225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant