Bryan Nichols, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT025855 Issued in PA

Practice address

1518 Walnut St Ste 401
Philadelphia, PA 19102-3403

Phone

(267) 777-9872

NPI assigned

Mar 25, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lunara LLC

  • Physical Therapy Clinic/Center
  • Oreland, PA
  • NPI 1184408361
  NPD Authorized official
• Ascend Orthopaedics

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1659811354
  NPD (past) Authorized official

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1649512930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 7001A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023523",
            "telephone_number": "267-777-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023403",
            "telephone_number": "267-777-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT025855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Nicholas, PHARMD
• Alexander S. Nicholas, DO
• Evan A. Nicholas, DO
• Maureen Nicholas, NP
• Sidnee Nicholls
• Charles Nichols, MD
• Harve Leon Nichols, LSW
• Hope P Nichols, LMFT
• Jessica Nichols, LPN
• Joanna Nichols, LCSW

• Orthopedic Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.