Individual provider Active NPI

Nicholas Herrin, PT, DPT

  • Physical Therapist
  • Beavercreek, OH
National Provider Identifier
1992592562
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015316 Issued in OH
Practice address
1490 N Fairfield Rd Ste F
Beavercreek, OH 45432-2680
Phone
(937) 367-8624
Fax
(937) 783-7746
NPI assigned
Apr 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 PT015316 OH Primary

Addresses

Primary practice location

1490 N Fairfield Rd Ste F
Beavercreek, OH 45432-2680

Mailing address

2830 Rockledge TRL
Beavercreek, OH 45430-1959
Phone (937) 367-8624

Other identifiers 1

IdentifierTypeStateIssuer
0167190MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507000293 OH Practitioner - Physical Therapist in Private Practice 2062939705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
My Wellness Team LLCGroup PAC ID 5890142145, 41 clinicians

Practice addresses (Care Compare)

1490 N Fairfield Rd
Suite F
Beavercreek, OH 45432-2680
Phone (937) 367-8624

2830 Rockledge TRL
Beavercreek, OH 45430-1959

800 Grayson LN
Beavercreek, OH 45430-1783
Phone (866) 360-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015316OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Morning Physical Therapy and Rehab Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

1490 N Fairfield Rd
Ste F
Beavercreek, OH 45432
Phone (937) 367-8624

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": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1992592562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 ROCKLEDGE TRL",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301959",
            "telephone_number": "937-367-8624",
            "fax_number": "937-783-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 N FAIRFIELD RD STE F",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322680",
            "telephone_number": "937-367-8624",
            "fax_number": "937-783-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRIN",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT015316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167190",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.