Mateo Nicholson, DO

Individual Active
NPI 1659833366
Physical Medicine & Rehabilitation Physician Fort Wayne, IN

NPI 1659833366 belongs to Mateo Nicholson, DO, a physical medicine & rehabilitation physician with a practice location in Fort Wayne, IN. The NPI was issued on April 2, 2019, and the record was last updated in NPPES on October 2, 2024. The record lists 5 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician Primary 208100000X 02007853A (IN)
Internal Medicine Physician 207R00000X 125074919 (IL)
Student in an Organized Health Care Education/Training Program 390200000X 33866 (MN)
Student in an Organized Health Care Education/Training Program 390200000X (WI)
Student in an Organized Health Care Education/Training Program 390200000X 75957-21 (WI)

Practice location

2231 Carew St
Fort Wayne, IN 46805-4713
Phone: (260) 425-6780

Local context

Active NPPES records list 46 providers with physical medicine & rehabilitation physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 44 of them within 10 miles.

The same primary taxonomy is listed by 320 in Indiana and 22,741 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Other providers at this address

Providers whose NPPES practice location has the same street address, listing those with a page here.

Nearby providers with the same primary taxonomy

Record history

Name on record
Mateo F Nicholson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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