Organization Active NPI

Nichols & Associates Physical Theraphy Specialist Inc

  • Physical Therapist
  • Panama City, FL
National Provider Identifier
1679593115
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15569 Issued in FL
Legal business name
NICHOLS & ASSOCIATES PHYSICAL THERAPHY SPECIALIST INC
Practice address
4032 Thomas Dr Ste 101a
Panama City, FL 32408
Phone
(850) 236-3424
Fax
(850) 236-2487
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Miss Donna Nichols, PT
Title
Owner
Phone
(850) 236-3424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT15569 FL Primary

Addresses

Primary practice location

4032 Thomas Dr Ste 101a
Panama City, FL 32408

Mailing address

4032 Thomas Dr Ste 101a
Panama City, FL 32408-6861
Phone (850) 236-3424

Other practice location 1

7328 Thomas Dr
Suite B
Panama City, FL 32408-7500
Phone (850) 236-3424

Other identifiers 2

IdentifierTypeStateIssuer
372484863OtherFLTRICARE
Y087WOtherFLBCBS OF FL

National Provider Directory

National Provider Directory

Locations

7030B Thomas Dr
Panama City, FL 32408
Phone (850) 236-3424

7328 Thomas Dr
Ste G
Panama City, FL 32408
Phone (850) 236-3424

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1679593115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 THOMAS DR STE 101A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324086861",
            "telephone_number": "850-236-3424",
            "fax_number": "850-236-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 THOMAS DR STE 101A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32408",
            "telephone_number": "850-236-3424",
            "fax_number": "850-236-2487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7328 Thomas Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324087500",
            "country_code": "US",
            "telephone_number": "850-236-3424",
            "fax_number": "850-236-2487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICHOLS & ASSOCIATES PHYSICAL THERAPHY SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-236-3424",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "372484863",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Y087W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.