Active NPI
Nicholas Player, P.T., D.P.T.
- Physical Therapist
- Johnson City, TN
National Provider Identifier
1114164423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13222
- Practice address
- 4307 N Roan St Ste 7
Johnson City, TN 37615-4973 - Phone
- (423) 491-5222
- Fax
- (423) 491-5223
- NPI assigned
- Jan 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT 28462 | FL | |
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 13222 | TN | Primary |
Addresses
Primary practice location
4307 N Roan St Ste 7
Johnson City, TN 37615-4973
Mailing address
4307 N Roan St Ste 7
Johnson City, TN 37615-4973
Phone (423) 491-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13222 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champion Physical Therapy LLC Halls | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- White Pine, TN
- NPI 1285121673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1114164423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4307 N ROAN ST STE 7",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376154973",
"telephone_number": "423-491-5222",
"fax_number": "423-491-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4307 N ROAN ST STE 7",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376154973",
"telephone_number": "423-491-5222",
"fax_number": "423-491-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAYER",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-09",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT 28462",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.