Nicklaus Alan Emerson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTP-PT-LIC-19164 Issued in MT

Practice address

906 9TH St W # a
Columbia Falls, MT 59912-3806

Phone

(406) 897-2404

NPI assigned

Apr 15, 2020

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 MT

Enrollment records 1

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.

• Precision Physical Therapy & Sports Rehab PC

  • Physical Therapy Clinic/Center
  • Kalispell, MT
  • NPI 1619217098

  MT

  Medicare reassignment Care Compare group NPD
• Vision Clinic PLLC

  • Optometrist
  • Kalispell, MT
  • NPI 1528240454
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Physical Therapy and Sports Rehab PC 7 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1124647466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599122828",
            "telephone_number": "406-897-2404",
            "fax_number": "406-897-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 9TH ST W # A",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123806",
            "telephone_number": "406-897-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "NICKLAUS",
        "middle_name": "ALAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-19164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Dear-Ruel, MD
• Julie Ann Deshazer, LAC
• Daniel Lloyd Diamond, M.D.
• Erik Digby, PT
• Jesse Elledge, DDS
• Amy Esmay
• Evon T. Heaser, D.D.S., P.C.
• Kelly Anne Ewalt, LCPC
• Family Health Care PC
• Farming for the Future Academy

• All providers in Columbia Falls, MT
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.