Candise Nichols, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-05492 Issued in KS

Practice address

6505 E 37TH St N
Wichita, KS 67226-3232

Phone

(316) 854-2330

Fax

(316) 681-0600

NPI assigned

Aug 10, 2016

Last updated

Aug 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arc Physical Therapy Plus LP

  • Physical Therapist
  • Overland Park, KS
  • NPI 1851715353
  Medicare reassignment Care Compare group NPD
• Arc Physical Therapy Plus LP

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
  • NPI 1568180545
  NPD

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1700330537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 E 37TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672263232",
            "telephone_number": "316-854-2330",
            "fax_number": "316-681-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 E 37TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672263232",
            "telephone_number": "316-854-2330",
            "fax_number": "316-681-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CANDISE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vuong Nguyen, DDS
• Carol M Nibert, MD
• David L Nibert, DDS
• Christina Marie Nicholas, MD
• Brittanie Nichols
• Evonna Joy Nichols
• Jaysa L Nichols, CRNA
• Jessica Nichols, DPT
• Kaelyn Nichols, LMFT-T
• Luke O Nichols, MD

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.