Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Shahmohammadi

Individual provider Physical Therapy Assistant · NPI 1649093683

Nicholas Shahmohammadi is a Physical Therapy Assistant in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2024.

Licensed in
CO
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1301 Fortino Blvd
Pueblo, CO 81008-2032
Phone: (719) 696-7799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT.0009175 (CO)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA.0014131 (CO)

Record details

NPI number1649093683
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2024
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

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