Jeff Nicholl, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17739 Issued in CA

Practice address

516 Las Posas Rd
Camarillo, CA 93010-5705

Phone

(805) 388-5678

Fax

(805) 388-5665

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jeff Nicholl Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc.

  • Orthopedic Physical Therapist
  • Camarillo, CA
  • NPI 1083905277
  Medicare reassignment NPD Authorized official
• Body Mechanix Physical Therapy Inc

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1831143031
  NPD (past)
• Veselak Chiropractic, Corporation

  • Chiropractor
  • Camarillo, CA
  • NPI 1720250533
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1437128931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LAS POSAS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105705",
            "telephone_number": "805-388-5678",
            "fax_number": "805-388-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LAS POSAS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105705",
            "telephone_number": "805-388-5678",
            "fax_number": "805-388-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLL",
        "first_name": "JEFF",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "17739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "NICHOLL",
            "prefix": "MR.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth U Nguyen, MD
• Jacqueline M. Nguyen, PHARMD
• Jennifer Hoang Anh Nguyen, M.S.W.
• Kathleen Nguyen, PHARMD
• Rebecca Nguyen, MD
• Ellen Elizabeth Nichols, PSYD
• Meagan Nichols
• Jennifer Nichwander, MSPT
• Susan Nickerson
• Lacey Joan Nickols

• Physical Therapist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.