Individual provider Active NPI

Donna Soave Nichols, P.T.

  • Physical Therapist
  • Panama City, FL
National Provider Identifier
1710987359
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15569 Issued in FL
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

Updated by the provider on Aug 14, 2012

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 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

Enrollment IDStateProvider typePAC IDDetails
I20051021000271 FL Practitioner - Physical Therapist in Private Practice 4284650078 Reassigns benefits to 1 organization

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
Southern Orthopedic Specialists PAGroup PAC ID 4082511001, 21 clinicians

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

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Jan 5, 2025 Accepting new patients
North Florida Surgeons, PA CurrentSince Jan 5, 2025 Accepting new patients
Southern Orthopedic Specialists PA CurrentSince Jan 1, 2026 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.