Todd Nicholson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2144 Issued in IA

Practice address

315 W 5TH St
Storm Lake, IA 50588-1743

Phone

(712) 732-7725

Fax

(712) 732-5153

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rising Sun Chiropractic, PLCGroup PAC ID 9830361526, 3 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 and National Provider Directory roles.

• Rising Sun Chiropractic, PLC

  • Chiropractor
  • Saint Peter, MN
  • NPI 1669769121

  MN, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sports Rehab & Professional Therapy Associates

  • Customized Equipment (DME)
  • Storm Lake, IA
  • NPI 1285772970
  NPD (past) Authorized official
• Sports Rehab and Professional Therapy Associates Inc

  • Rehabilitation Clinic/Center
  • Storm Lake, IA
  • NPI 1033289749

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750429593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 ANGIER DR",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882817",
            "telephone_number": "712-732-7725",
            "fax_number": "712-732-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881743",
            "telephone_number": "712-732-7725",
            "fax_number": "712-732-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "TODD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IOWA",
            "identifier": "11024",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Munden, PHYSICAL THERAPIST
• Miguel Munilla, D.D.S.
• Nigel Mwamba
• New Directions for Mental Health, LLC
• Nicholson Physical Therapy, PLC
• Joan M Nilles, MD
• Lauren Nixon
• North Central Iowa Mental Health Center Inc
• Casey Orton, PHARMD
• Doreen A Pedersen, RN

• All providers in Storm Lake, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.