Scott Nichols, DPT, ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

118530 Issued in MO

Practice address

1102 Sikes Ave
Sikeston, MO 63801-5021

Phone

(573) 471-5755

Fax

(573) 471-5884

NPI assigned

Dec 15, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Health Facilities Rehab Services Inc

  • Rehabilitation Clinic/Center
  • Sikeston, MO
  • NPI 1720003551
  NPD

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1982110706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SIKES AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015021",
            "telephone_number": "573-471-5755",
            "fax_number": "573-471-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SIKES AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015021",
            "telephone_number": "573-471-5755",
            "fax_number": "573-471-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SCOTT",
        "credential": "DPT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "118415",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "118530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Neal, RD, LD
• Larones V Nelson-Bell
• New Hope Ministries
• New Hope Ministries
• Christine Huynh Nguyen
• Jennifer A Nickell, MD
• Brenda J. Nicolai, PT, MHS, OCS
• Jacqueline Nielson, LCSW
• Molly K Nirider, OTR/L
• Cassidy Obermark, O.D.

• Physical Therapist in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.