Active NPI
Donna Soave Nichols, P.T.
- Physical Therapist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15569
- Practice address
- 7328 Thomas Dr
Suite G
Panama City, FL 32408-7500 - Phone
- (850) 236-3424
- NPI assigned
- Jul 26, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT15569 | FL | Primary |
Addresses
Primary practice location
7328 Thomas Dr
Suite G
Panama City, FL 32408-7500
Mailing address
210 Summerwood Dr
Panama City, FL 32413-5731
Phone (850) 896-3405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1827 Harrison Ave
Panama City, FL 32405-7605
Phone (850) 785-4344
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Southern Orthopedic Specialists PA | Current | Accepting new patients |
Locations
36468 Emerald Coast Pkwy
Ste 1101
Destin, FL 32541
Phone (850) 290-2154
1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
1827 Harrison Ave
Panama City, FL 32405
Phone (850) 785-4344
7328 Thomas Dr
Ste B
Panama City Beach, FL 32408
Phone (850) 236-3424
Interoperability endpoints
- donna.nichols.1@9109.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Panama City, FL
- NPI 1407892938
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1710987359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SUMMERWOOD DR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324135731",
"telephone_number": "850-896-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7328 THOMAS DR",
"address_2": "SUITE G",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324087500",
"telephone_number": "850-236-3424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "DONNA",
"middle_name": "SOAVE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT15569",
"primary": true
}
],
"identifiers": [],
"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 Aug 14, 2012; 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.