Jeremy Nichols, MS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5216 Issued in SC

Practice address

2515 Evans St
Newberry, SC 29108-2939

Phone

(803) 276-7370

Fax

(803) 276-7369

NPI assigned

Mar 26, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Midlands Physical Therapy and Wellness LLC.

  • Physical Therapy Clinic/Center
  • Newberry, SC
  • NPI 1457961963
  NPD Authorized official
• Chapin Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Chapin, SC
  • NPI 1861929473

  Orthopedic

  NPD (past)
• Newberry Physical Therapy and Sports Medicine Clinic Inc

  • Orthopedic Physical Therapist
  • Newberry, SC
  • NPI 1871716514
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861510372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PETTUS LN",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "29108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 EVANS ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082939",
            "telephone_number": "803-276-7370",
            "fax_number": "803-276-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "5216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newberry Pathology Associates PA
• Newberry Physical Therapy and Sports Medicine Clinic Inc
• Newberry Surgical Associates PA
• Newberry Surgical LLC
• NHC Healthcare/Newberry, LLC
• Mary Nunenmacher, LPTA
• Nxe LLC
• Sean O'Meara, MD
• Ohio Valley Physicians Inc
• Palmetto Bone and Joint

• Orthopedic Physical Therapist in Newberry, SC
• Providers in Newberry, SC by specialty
• Orthopedic Physical Therapist in South Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.