Addison Owen Nichols

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06133 Issued in KS

Practice address

2311 S Kansas Rd
Newton, KS 67114-9032

Phone

(316) 283-7187

Fax

(316) 283-7189

NPI assigned

Jun 11, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced PT of Newton, LLCGroup PAC ID 3476616848, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

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.

• Advanced PT of Newton, LLC

  • Physical Therapist
  • Newton, KS
  • NPI 1801043369
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1770142010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 S KANSAS RD",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149032",
            "telephone_number": "316-283-7187",
            "fax_number": "316-283-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 S KANSAS RD",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149032",
            "telephone_number": "316-283-7187",
            "fax_number": "316-283-7189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hesston",
            "state": "KS",
            "postal_code": "670628974",
            "country_code": "US",
            "telephone_number": "620-327-3495",
            "fax_number": "620-234-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ADDISON",
        "middle_name": "OWEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aptnewton.com",
            "affiliation": "N",
            "address_1": "2311 S Kansas Rd",
            "city": "Newton",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671149032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Next Element Consulting, LLC
• Alexander NG, PMHNP-BC
• Nguyen Counseling Services, LLC
• Amy Nguyen
• Diana Nguyen
• Katherine K Nickolay, LSCSW
• Michelle D Nienkamp, ATR
• Jana Nisly, MD
• Mary Jo Nixon, APRN
• Kesha D Nolen, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.