Sheila M. Nicholson, P.T., M.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.007543 Issued in IL

Practice address

1700 W Washington St
Springfield, IL 62702-6420

Phone

(217) 619-0667

NPI assigned

Aug 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sheila M. McCoy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1013101245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W EDWARDS ST APT A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041920",
            "telephone_number": "217-638-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026420",
            "telephone_number": "217-619-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SHEILA",
        "middle_name": "M.",
        "credential": "P.T., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.007543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "070-007543",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "MCCOY",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria R Nichols-Johnson, M.D.
• Nancy J. Nichols, LCSW
• Phyllis J Nichols, RN
• Kathleen Dawn Nicholson-Schahl, MOT, OTR/L
• Nicole Nicholson, LCSW
• Gayla J Nickel, COTA
• Kaylyn Marie Nickelson, OD
• Melissa A. Nicol, DIETICIAN
• Sarah Nicolas
• Daniel J Niebrugge, M.D.

• Physical Therapist in Springfield, IL
• Providers in Springfield, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.