Travis J Nichols, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1103824 Issued in KS

Practice address

4201B Anderson Ave
Suite 1
Manhattan, KS 66503-7601

Phone

(785) 539-5555

Fax

(785) 539-4551

NPI assigned

Jun 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nichols PT & Wellness LLC

  • Physical Therapist
  • Manhattan, KS
  • NPI 1750069811
  NPD Authorized official

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1104137751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426A MCCALL RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025032",
            "telephone_number": "785-776-0670",
            "fax_number": "785-776-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201B ANDERSON AVE",
            "address_2": "SUITE 1",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037601",
            "telephone_number": "785-539-5555",
            "fax_number": "785-539-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426A McCall Rd",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665025032",
            "country_code": "US",
            "telephone_number": "785-776-0670",
            "fax_number": "785-776-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TRAVIS",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "0012597",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA2868020",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "1104037751",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "44204046",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201182370A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Nguyen, DMD
• Nathan Nguyen
• Nichols Chiropractic, PA
• Nichols PT & Wellness LLC
• Jarrod L Nichols, D.C.
• Koby Nickel
• Tyson Ryley Nickelson
• Shawna Marie Niemann
• Anna Nippert
• Kyra Nippert

• Physical Therapist in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.