NPIMap

Individual provider Active NPI

Erik Burton Nichols, MPT

  • Neurology Physical Therapist
  • Los Banos, CA
National Provider Identifier
1952931230
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
23713 Issued in CA
Practice address
312 W J St
Los Banos, CA 93635-4073
Phone
(209) 827-6178
NPI assigned
Jan 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 23713 CA
Orthopedic Physical Therapist 2251X0800X 23713 CA
Neurology Physical Therapist 2251N0400X 23713 CA Primary

Addresses

Primary practice location

312 W J St
Los Banos, CA 93635-4073

Mailing address

45307 Callesito Burgos
Temecula, CA 92592-1097
Phone (951) 514-5241

Other practice location 1

44750 60th St W
Lancaster, CA 93536-7619
Phone (661) 709-5426

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sport & Rehab Physical Therapy Incorporated CurrentSince Feb 2, 2020 Accepting new patients
Central Valley Cardiovascular Medical Group, Inc PastSince Feb 2, 2020 Accepting new patients

Locations

312 W J St
Los Banos, CA 93635
Phone (209) 827-6178

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.

NPI Registry JSON

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1952931230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45307 CALLESITO BURGOS",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921097",
            "telephone_number": "951-514-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W J ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354073",
            "telephone_number": "209-827-6178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44750 60th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935367619",
            "country_code": "US",
            "telephone_number": "661-709-5426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ERIK",
        "middle_name": "BURTON",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-25",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "23713",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "23713",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "23713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.