Trent Allen Nichol

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

11-05669 Issued in KS

Practice address

5267 W 95TH St
Overland Park, KS 66207-3201

Phone

(913) 640-9090

Fax

(913) 640-9091

NPI assigned

Jun 15, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1366972937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640120320",
            "telephone_number": "816-331-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5267 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662073201",
            "telephone_number": "913-640-9090",
            "fax_number": "913-640-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOL",
        "first_name": "TRENT",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "11-05669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICALTHERAPIST",
            "identifier": "11-05669",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ngoc-Lan Thi Nguyen, M.D.
• Parul S Nguyen, M.D.
• Teresa Nguyen
• Tuyen M Nguyen, PHARMACIST
• Kelsey Sedelia Nichol
• Gretchen Nicholl, OTRL
• Beth Nichols
• Brooke Nichols, LCPC
• Felicia Marie Nichols, LCPC
• Jessica Nichols, ARNP

• Orthopedic Physical Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Orthopedic Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.