Active NPI
Christopher J Nichols, P.T.
- Physical Therapist
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7186
- Practice address
- 1809 N Bingham Dr
Nampa, ID 83651-1764 - Phone
- (208) 466-6959
- Fax
- (208) 465-9901
- NPI assigned
- Mar 7, 2018
- Last updated
- Feb 16, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10636251-2401 | UT | |
| Physical Therapist | 225100000X | PT7186 | ID | Primary |
Addresses
Primary practice location
1809 N Bingham Dr
Nampa, ID 83651-1764
Mailing address
1809 N Bingham Dr
Nampa, ID 83651-1764
Phone (208) 466-6959
Other practice location 1
1551 Renaissance Towne Dr Ste 350
Bountiful, UT 84010-7674
Phone (801) 295-3553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1809 N Bingham Dr
Nampa, ID 83651-1764
Phone (208) 466-6959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7186 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nichols Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1809 N Bingham Dr
Nampa, ID 83651
Phone (208) 466-6959
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Morris Physical Therapy
- Physical Therapist
- Nampa, ID
- NPI 1679148993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1154823094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 N BINGHAM DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511764",
"telephone_number": "208-466-6959",
"fax_number": "208-465-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 N BINGHAM DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511764",
"telephone_number": "208-466-6959",
"fax_number": "208-465-9901"
}
],
"practiceLocations": [
{
"address_1": "1551 Renaissance Towne Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Bountiful",
"state": "UT",
"postal_code": "840107674",
"country_code": "US",
"telephone_number": "801-295-3553",
"fax_number": "801-295-3599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-07",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "10636251-2401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT7186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.