Active NPI
Nichols Physical Therapy LLC
- Physical Therapist
- Nampa, ID
National Provider Identifier
1679148993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- NICHOLS PHYSICAL THERAPY LLC
- Practice address
- 1809 N Bingham Dr
Nampa, ID 83651-1764 - Phone
- (208) 466-6959
- Fax
- (208) 465-9901
- NPI assigned
- May 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Nichols, DPT
- Title
- Owner/Physical Therapist
- Phone
- (208) 466-6959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1809 N Bingham Dr
Nampa, ID 83651-1764
Mailing address
1809 N Bingham Dr
Nampa, ID 83651-1764
Phone (208) 466-6959
Other names 1
- MORRIS PHYSICAL THERAPY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1809 N Bingham Dr
Nampa, ID 83651
Phone (208) 466-6959
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Nampa, ID
- NPI 1154823094
-
- Physical Therapist
- Nampa, ID
- NPI 1093324931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1679148993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 N BINGHAM DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511764",
"telephone_number": "208-466-6959",
"fax_number": "208-465-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 N BINGHAM DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511764",
"telephone_number": "208-466-6959",
"fax_number": "208-465-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLS PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "208-466-6959",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MORRIS PHYSICAL THERAPY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.