Individual provider Active NPI

Joseph F. Nichols, DPT

  • Physical Therapist
  • Del Mar, CA
National Provider Identifier
1528580230
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293110 Issued in CA
Practice address
3790 Via de la Valle Ste 205
Del Mar, CA 92014-4250
Phone
(858) 350-6500
Fax
(858) 350-6505
NPI assigned
Jul 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 293110 CA Primary

Addresses

Primary practice location

3790 Via de la Valle Ste 205
Del Mar, CA 92014-4250

Mailing address

3790 Via de la Valle Ste 205
Del Mar, CA 92014-4250
Phone (858) 350-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814000727 CA Practitioner - Physical Therapist in Private Practice 4587935366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RDM Physical Therapy PCGroup PAC ID 0840439907, 4 clinicians

Practice addresses (Care Compare)

3790 Via de la Valle
Suite 205
Del Mar, CA 92014-4250
Phone (858) 350-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293110CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RDM Physical Therapy PC Physical Therapist CurrentSince Jun 20, 2017 Accepting new patients

Locations

3790 Via de la Valle
Ste 205
Del Mar, CA 92014
Phone (858) 350-6500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528580230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE STE 205",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144250",
            "telephone_number": "858-350-6500",
            "fax_number": "858-350-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE STE 205",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144250",
            "telephone_number": "858-350-6500",
            "fax_number": "858-350-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JOSEPH",
        "middle_name": "F.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.