Active NPI
Nichols & Associates Physical Theraphy Specialist Inc
- Physical Therapist
- Panama City, FL
National Provider Identifier
1679593115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15569
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372484863 | Other | FL | TRICARE |
| Y087W | Other | FL | BCBS OF FL |
National Provider Directory
National Provider DirectoryLocations
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.