Individual provider Active NPI

Nicholas Player, P.T., D.P.T.

  • Physical Therapist
  • Johnson City, TN
National Provider Identifier
1114164423
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13222 Issued in TN
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

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
13222TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.