NPIMap

Organization Active NPI

Nicholson Physical Therapy, PLC

  • Physical Therapy Clinic/Center
  • Storm Lake, IA
National Provider Identifier
1770715336
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
02144 Issued in IA
Legal business name
NICHOLSON PHYSICAL THERAPY, PLC
Practice address
200 W Railroad St
Storm Lake, IA 50588-2449
Phone
(712) 299-0866
NPI assigned
Aug 17, 2009
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Todd Nicholson, PT
Title
Owner
Phone
(712) 299-0866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 02144 IA Primary

Addresses

Primary practice location

200 W Railroad St
Storm Lake, IA 50588-2449

Mailing address

200 W Railroad St
Storm Lake, IA 50588-2449

National Provider Directory

National Provider Directory

Locations

200 W Railroad St
Storm Lake, IA 50588
Phone (712) 213-8184

200 W Railroad St
#T
Storm Lake, IA 50588
Phone (712) 213-8184

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1770715336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W RAILROAD ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W RAILROAD ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882449",
            "telephone_number": "712-299-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLSON PHYSICAL THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-299-0866",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "02144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.