Individual provider Active NPI

Ryan Nichols

  • Physical Therapist
  • Auburn, AL
National Provider Identifier
1497451280
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11215 Issued in AL
Practice address
1530 E Glenn Ave Ste C
Auburn, AL 36830-5730
Phone
(334) 502-7839
NPI assigned
Feb 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH11215 AL Primary

Addresses

Primary practice location

1530 E Glenn Ave Ste C
Auburn, AL 36830-5730

Mailing address

2823 Greystone Commercial Blvd
Hoover, AL 35242-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230322001918 AL Practitioner - Physical Therapist in Private Practice 0244604841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South - Opelika LLCGroup PAC ID 9739427261, 6 clinicians

Practice addresses (Care Compare)

2701 Frederick Rd
Suite 310
Opelika, AL 36801-7281
Phone (334) 610-0354

Merit-based Incentive Payment System (MIPS)

Final score
97.71 of 100Reported as individual
Quality
95.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Auburn LLC Physical Therapist CurrentSince Feb 2, 2023 Accepting new patients
Therapy South - Opelika LLC Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients

Locations

1530 E Glenn Ave
Ste C
Auburn, AL 36830
Phone (334) 502-7839

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

2701 Frederick Rd
Ste 310
Opelika, AL 36801
Phone (334) 610-0354

Organizations & group practices 2

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1497451280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E GLENN AVE STE C",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305730",
            "telephone_number": "334-502-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.