Individual provider Active NPI

Nicholas Stricklen, DPT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1407674252
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP049652T Issued in NC
Practice address
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone
(910) 484-4653
Fax
(910) 483-9256
NPI assigned
Oct 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP049652T NC Primary
Physical Therapist 225100000X CO039948T CO
Physical Therapist 225100000X PT021361 OH
Physical Therapist 225100000X CP035163T VA

Addresses

Primary practice location

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774

Mailing address

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653

Other practice location 1

6970 Fox Hunt Ln
Gloucester, VA 23061-5394
Phone (804) 694-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CO, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250102001329 VA Practitioner - Physical Therapist in Private Practice 6002343019 Reassigns benefits to 1 organization
I20250702001064 CO Practitioner - Physical Therapist in Private Practice 6002343019 Reassigns benefits to 1 organization
I20251110001283 NC Practitioner - Physical Therapist in Private Practice 6002343019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians
The Hudson Group IncGroup PAC ID 7214061282, 4 clinicians

Practice addresses (Care Compare)

1991 Fordham Dr
Suite 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653

722 S 8TH St
Canon City, CO 81212-4906
Phone (719) 345-4097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO039948TCOMDPhysical Therapist
CP049652TNCMDPhysical Therapist
PT021361OHMDPhysical Therapist
CP035163TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Oct 3, 2024 Accepting new patients
The Hudson Group Inc. Physical Therapist CurrentSince Apr 24, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Oct 3, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Physical Therapist Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Physical Therapist CurrentSince Oct 15, 2025 Accepting new patients

Locations

722 S 8th St
Canon City, CO 81212
Phone (719) 345-4097

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1991 Fordham Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 484-4653

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

6970 Fox Hunt Ln
Gloucester, VA 23061
Phone (804) 694-8111

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1407674252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6970 Fox Hunt Ln",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230615394",
            "country_code": "US",
            "telephone_number": "804-694-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLEN",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP049652T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CO039948T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021361",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP035163T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.