Individual provider Active NPI

Cale Nichols, DPT

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1659800951
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61147235 Issued in WA
Practice address
15413 E Valleyway Ave Ste 200B
Spokane Valley, WA 99037-5029
Phone
(509) 928-3443
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13047 AZ
Physical Therapist 225100000X 61147235 WA Primary

Addresses

Primary practice location

15413 E Valleyway Ave Ste 200B
Spokane Valley, WA 99037-5029

Mailing address

15720 E 4TH Ave Apt B205
Spokane Valley, WA 99037-8913
Phone (602) 339-7051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210416001399 WA Practitioner - Physical Therapist in Private Practice 8628330644 Reassigns benefits to 2 organizations

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
Lighthouse Physical Therapy and Sports MedicineGroup PAC ID 9032506845, 6 clinicians

Practice addresses (Care Compare)

18915 E Appleway Ave
Suite A101
Spokane Valley, WA 99016-8856
Phone (509) 928-3443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13047AZMDAddiction (Substance Use Disorder) Counselor
61147235WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Physical Therapy and Sports Medicine Physical Therapist CurrentSince Mar 31, 2021 Accepting new patients
Lighthouse Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

18915 E Appleway Ave
Spokane Valley, WA 99016
Phone (509) 928-3443

18915 E Appleway Ave
#A200
Spokane Valley, WA 99016
Phone (509) 928-3443

18915 E Appleway Ave
Ste A101
Spokane Valley, WA 99016
Phone (509) 723-9999

15413 E Valleyway Ave
Ste 200B
Spokane Valley, WA 99037
Phone (509) 928-3443

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1659800951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 E 4TH AVE APT B205",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378913",
            "telephone_number": "602-339-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15413 E VALLEYWAY AVE STE 200B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990375029",
            "telephone_number": "509-928-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CALE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13047",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61147235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

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