CHARLES WAYNE NICHOLS JR. (NPI# 1437355583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437355583 |
| Entity Type | Individual |
| Full Name | CHARLES WAYNE NICHOLS JR. |
| Credential | PT |
| Practice Address |
855 Montgomery St Fort Worth TX 76107-2553 |
| Mailing Address |
Po Box 99335 Fort Worth TX 76199-0335 |
| Practice Telephone | 8177353627 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2012-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1046365 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 875T14 | 01 |
| TX | 036784902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346502 | Charles Nichols IIi | Physical Therapist | 119 W Columbia Ave, Spokane, WA 99205-6224 | 2020-04-27 |
| 1225437098 | Charles P. Nichols | Family Medicine | 10131 Birchwood Dr, Huntington Beach, CA 92646-5432 | 2014-08-18 |
| 1881933497 | Charles Richard Nichols | Counselor | 2001 Martin Luther King Jr. Dr., Suite 450-a, Atlanta, GA 30310 | 2013-02-04 |
| 1942231477 | Charles G Nichols | General Practice | 189 Hibbard Street, Pikeville, KY 41501 | 2006-07-05 |
| 1497858492 | Charles D Nichols | Pharmacist | 1209 Atlantic Blvd, Neptune Beach, FL 32266-1711 | 2006-09-06 |
| 1669583290 | Charles Nichols | Ophthalmology | 3400 Spruce St, 2 Gates Building, Philadelphia, PA 19104-4206 | 2006-08-31 |
| 1902826928 | Charles William Nichols Jr. | Psychologist | 1 Freedom Way, Va Medical Center Ru -28 Adr, Augusta, GA 30904-6258 | 2006-07-20 |
| Street Address |
855 MONTGOMERY ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194455 | Patricia Lowrimore | Psychiatry & Neurology | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2005-06-20 |
| 1194353417 | Jason L Thompson | Student in an Organized Health Care Education/Training Program | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-03-31 |
| 1639701808 | Tyrane Roberts-lagrone | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-02-06 |
| 1144860917 | Melissa Edwards Petersen | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-01-09 |
| 1629553813 | Lisa Jane Killam-worrall | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-10-03 |
| 1598250607 | Sima Taj Mozdbar | Optometrist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-06-30 |
| 1588153993 | Kristen Reuter | Social Worker | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-05-02 |
| 1114431624 | Emily J. Clark | Counselor | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-11-20 |
| 1275073215 | Elizabeth Svyatoslavna Balyakina | Student in an Organized Health Care Education/Training Program | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-02-23 |
| 1588103659 | Frederick Olen Barnum Iv | Family Medicine | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764008 | Fort Worth Cancer Care | Physical Therapist | 4952 Stadium Dr, Fort Worth, TX 76133-1742 | 2020-09-10 |
| 1356953467 | Ellen Wagner | Physical Therapist | 10640 N Riverside Dr Ste 200, Fort Worth, TX 76244-9506 | 2020-08-19 |
| 1710596200 | Mary Goertz | Physical Therapist | 4120 Highway 360 Ste 105, Fort Worth, TX 76155-2562 | 2020-07-30 |
| 1588273379 | Sierra Martha Wilson Bautista | Physical Therapist | 1605 5th Ave Apt 11, Fort Worth, TX 76104-4348 | 2020-07-28 |
| 1932727534 | Pcpt, Pllc | Physical Therapist | 3712 Cresthaven Ter, Fort Worth, TX 76107-1016 | 2020-07-09 |
| 1265059422 | Savannah Erin Martinez | Physical Therapist | 2450 Oak Hill Cir Apt 814, Fort Worth, TX 76109-9506 | 2020-07-02 |
| 1548886054 | Kathryn Nicole Bergsma | Physical Therapist | 5612 Pradera Rd, Fort Worth, TX 76126-2035 | 2020-06-20 |
| 1780203539 | Samuel Adrignola | Physical Therapist | 2939 Crockett St Apt 245, Fort Worth, TX 76107-2953 | 2020-04-12 |
| 1407488364 | Sharvari Patel | Physical Therapist | 800 Jim Wright Fwy Bldg #2, Fort Worth, TX 76108 | 2020-02-09 |
| 1003457300 | Danieta Kay Grissman | Physical Therapist | 12460 Woods Edge Trl, Fort Worth, TX 76244-9408 | 2019-10-08 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.