Provider Demographics
NPI:1851977003
Name:WIGGERS, NICHOLAS EDWARD (DPT)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:EDWARD
Last Name:WIGGERS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7987 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2715
Mailing Address - Country:US
Mailing Address - Phone:720-845-6880
Mailing Address - Fax:720-845-6884
Practice Address - Street 1:7987 S BROADWAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2715
Practice Address - Country:US
Practice Address - Phone:720-845-6880
Practice Address - Fax:720-845-6884
Is Sole Proprietor?:No
Enumeration Date:2021-03-18
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046736-01225100000X
CO20811225100000X
NHEL10788225100000X
NV6489225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist