Individual provider Active NPI

Nickolas Turner, DPT

  • Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1679310791
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306202 Issued in CA
Practice address
13311 Garden Grove Blvd Ste B
Garden Grove, CA 92843-2202
Phone
(714) 621-0327
NPI assigned
Jul 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 306202 CA Primary

Addresses

Primary practice location

13311 Garden Grove Blvd Ste B
Garden Grove, CA 92843-2202

Mailing address

13311 Garden Grove Blvd Ste B
Garden Grove, CA 92843-2202
Phone (714) 621-0327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1310 W Stewart Dr
Suite 404
Orange, CA 92868-3855

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306202CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twins Physical Medicine Corp CurrentSince Sep 23, 2024 Accepting new patients
Twins Wellness PastSince Jul 21, 2024 Accepting new patients

Locations

13311 Garden Grove Blvd
Ste B
Garden Grove, CA 92843
Phone (714) 621-0312

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1679310791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 GARDEN GROVE BLVD STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432202",
            "telephone_number": "714-621-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13311 GARDEN GROVE BLVD STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432202",
            "telephone_number": "714-621-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "NICKOLAS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.