Individual provider Active NPI

Nicholas Failer, DPT

  • Physical Therapist
  • Ludington, MI
National Provider Identifier
1780319749
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018193 Issued in MI
Practice address
5656 W US Highway 10
Ludington, MI 49431-2454
Phone
(231) 316-1014
NPI assigned
Jul 22, 2022
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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 5501018193 MI Primary

Addresses

Primary practice location

5656 W US Highway 10
Ludington, MI 49431-2454

Mailing address

4028 Filkins Dr NE
Grand Rapids, MI 49525-2130
Phone (810) 706-0564

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholas.failer@mercyhealth.com Mercy Health Partners

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018193MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1780319749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 FILKINS DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252130",
            "telephone_number": "810-706-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 W US HIGHWAY 10",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312454",
            "telephone_number": "231-316-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAILER",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholas.failer@mercyhealth.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Mercy Health Partners",
            "address_1": "5656 W US Highway 10",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494312454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.