Rodney J Nichols, P.T.

Individual provider Active NPI Physical Therapist · Ocean Springs, MS

NPI 1841229564 · NPPES record last updated Dec 20, 2011

Key facts

NPI
1841229564
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT0286 (MS)
Practice address
5935 Washington Ave
Suite B
Ocean Springs, MS 39564-2642
Phone
(228) 818-2636
Fax
(228) 818-2637
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Wellness and Rehab Center, LLC Past Accepting new patients
Absolute Rehab Services, LLC Physical Therapist Past
since Aug 30, 2006
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0286 MS Yes

Addresses

Primary practice location

5935 Washington Ave
Suite B
Ocean Springs, MS 39564-2642

Mailing address

5935 Washington Ave
Suite B
Ocean Springs, MS 39564-2642
Phone (228) 818-2636

Other providers in Ocean Springs, MS

All providers in Ocean Springs, MS · Physical Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.