Eric Nichols, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012637 Issued in GA

Practice address

1825 Macarthur Blvd NW
Atlanta, GA 30318-2023

Phone

(770) 298-5893

NPI assigned

Aug 23, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.nicholas.p1@direct.life.nextgenshare.com

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.

• Movement Medicine Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1467227546

  Physical Therapist

  NPD Authorized official
• Pediatric Orthopedic Associates

  • Pediatric Radiology Physician
  • Salt Lake City, UT
  • NPI 1659488799
  NPD (past)

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1346795051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MACARTHUR BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182023",
            "telephone_number": "770-298-5893",
            "fax_number": "770-298-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MACARTHUR BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182023",
            "telephone_number": "770-298-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ERIC",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace McCullough Nichols, PHARMD
• Charles Richard Nichols, LPC
• Charlotte Nichols
• Christopher Nichols, DO
• Dandy Nichols, NMT, LMT
• Jacqueline Eckert Nichols, PA-C
• Joseph J Nichols Jr., M.D.
• Kayla Anne Nichols, PHARMD, BCCCP
• Kendall James Nichols, MD
• Lauren Kelly Nichols, M.S.

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.