Individual provider Active NPI

Nickolas Bowman, PT

  • Physical Therapist
  • Ann Arbor, MI
National Provider Identifier
1245723659
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018736 Issued in MI
Practice address
3520 Green CT Ste 1200
Ann Arbor, MI 48105-1595
Phone
(734) 239-8110
Fax
(734) 239-8111
NPI assigned
Jun 11, 2018
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018736 MI Primary

Addresses

Primary practice location

3520 Green CT Ste 1200
Ann Arbor, MI 48105-1595

Mailing address

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561

Other practice location 1

4900 N McCord Rd
Sylvania, OH 43560-3195
Phone (419) 951-7104

Other practice location 2

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 479-5960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180719000444 MI Practitioner - Physical Therapist in Private Practice 3678820883 Reassigns benefits to 2 organizations
I20251022002011 OH Practitioner - Physical Therapist in Private Practice 3678820883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Oct 2, 2025 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jul 9, 2018 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Aug 23, 2023 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Aug 23, 2023 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jul 9, 2018 Accepting new patients
Toledo Clinic Incorporated CurrentSince Oct 2, 2025 Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

3520 Green Ct
Ste 1200
Ann Arbor, MI 48105
Phone (734) 239-8110

3520 Green Ct
Ste 150
Ann Arbor, MI 48105
Phone (734) 239-8110

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

1201 E Main St
Ste A
Pinckney, MI 48169
Phone (734) 648-0138

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1245723659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299",
            "telephone_number": "419-473-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GREEN CT STE 1200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051595",
            "telephone_number": "734-239-8110",
            "fax_number": "734-239-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 N McCord Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435603195",
            "country_code": "US",
            "telephone_number": "419-951-7104",
            "fax_number": "419-517-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4235 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234299",
            "country_code": "US",
            "telephone_number": "419-479-5960",
            "fax_number": "419-479-5435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "NICKOLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.