Nichole Marie Eickholt, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012916 Issued in MI

Practice address

17272 Robbins Rd
Suite 102
Grand Haven, MI 49417

Phone

(810) 733-1200

Fax

(810) 733-3130

NPI assigned

Mar 5, 2009

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulst Jepsen Physical Therapy IncGroup PAC ID 8325033285, 132 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.78 of 100Reported as group

Quality

89.5

Improvement activities

40

Cost

71.87

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hulst Jepsen Physical Therapy Inc

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1609957760
  Medicare reassignment Care Compare group NPD
• Michigan Rehabilitation Specialists of Fowlerville LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Fowlerville, MI
  • NPI 1669531166
  Medicare reassignment NPD
• Michigan Rehabilitation Specialists of Fowlerville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dexter, MI
  • NPI 1407525892
  NPD

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1275773111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17272 ROBBINS RD",
            "address_2": "SUITE 102",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "810-733-1200",
            "fax_number": "810-733-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17272 ROBBINS RD",
            "address_2": "SUITE 102",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "810-733-1200",
            "fax_number": "810-733-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKHOLT",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP PTAN",
            "identifier": "0N45090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Eaton-Kelley
• Rileigh Elizabeth Grace Eding, PT, DPT
• Edson Medical Clinic, LLC (PCA Pain Care Center)
• Leah Edwards
• Patricia Janice Edwards, LMSW ACSW
• Catherine Jo Elmore
• Rachel Elms, RBT
• Bianca Eluskie, DPT
• James Elwell, DDS
• Wendy Sue Elzinga, LLP

• Physical Therapist in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.