Payson W Nichols, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5319 Issued in ME

Practice address

11 Main Rd N
Hampden, ME 04444

Phone

(207) 862-3906

NPI assigned

Nov 26, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saco Bay Orthopaedic and Sports Physical Therapy IncGroup PAC ID 9537069265, 137 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saco Bay Orthopaedic and Sports Physical Therapy, Inc

  • Physical Therapist
  • Saco, ME
  • NPI 1346254315

  ME, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Hampden, ME
  • NPI 1912675695

  Physical Therapist

  Care Compare group NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Old Town, ME
  • NPI 1154096238
  Care Compare group
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • New London, NH
  • NPI 1548837065
  Care Compare group
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1396312807
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1003573908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015977",
            "telephone_number": "207-299-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN RD N",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "04444",
            "telephone_number": "207-862-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "PAYSON",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Msad #22
• Msad #22
• Lisa M Mulready, PT
• Lauren A Murray, OT
• Willy Ndagushimamana
• Kristopher L O'Connell, DO
• Lauren Viles O'Reilly
• Osteopathic Center for Family Medicine, LLC
• Sonja Wiberg Parker, MSPT
• John L Patten, DO

• All providers in Hampden, ME
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.