NICHOLSON PHYSICAL THERAPY, LLC (NPI# 1588188221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588188221 |
| Entity Type | Organization |
| Organization Name | NICHOLSON PHYSICAL THERAPY, LLC |
| Practice Address |
216 Lorna Sq Hoover AL 35216-5439 |
| Mailing Address |
1912 Mayflower Dr Hoover AL 35226-3316 |
| Practice Telephone | 2053776960 |
| Practice Fax Number | 2054492536 |
| Mailing Telephone | 2053776960 |
| Mailing Fax Number | 2054492536 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | GARVICE GARRETT NICHOLSON JR. (OWNER) |
| Authorized Official Telephone | 2053776960 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PTH363 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 1275651572 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | NICHOLSON PHYSICAL THERAPY, LLC | 1912 Mayflower Drive, Hoover, AL 35226 |
| Street Address |
216 LORNA SQ |
| City | HOOVER |
| State | AL |
| Zip Code | 35216-5439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1013540376 | My Psychiatry Clinic, LLC | Psychiatry & Neurology | 2021 Shady Crest Dr. Suite 100, Hoover, AL 35216 | 2020-02-14 |
| 1811534928 | Tina Marie Sumpter | Counselor | 1776 Independence Court, Suite #103, Vestavia, AL 35216 | 2019-12-09 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1831657741 | Karen A. Genas | Counselor | 3812 Rime Village Dr., Hoover, AL 35216 | 2019-03-10 |
| 1538624564 | Stewart Counseling, LLC | Community/Behavioral Health | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2019-02-04 |
| 1699239509 | Heartsease Counseling Services LLC | Clinic/Center | 2231 Victory Ln., Suite 500, Hoover, AL 35216 | 2019-01-24 |
| 1205304276 | Jocelyn Stewart | Counselor | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2018-11-08 |
| 1154835775 | Robert B. Connor Dmd, PC | Dentist | 1771 Independence Ct., Suite 1, Birmingham, AL 35216 | 2017-11-17 |
| 1093262594 | Jaime Pears | Speech-Language Pathologist | 3057 Lorna Road, Suite 220, Birmingham, AL 35216 | 2016-09-01 |
| Find all providers in zip 35216 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821442146 | Ultimate Edge Sports Medicine | Clinic/Center | 1581 Montgomery Hwy Ste 115, Hoover, AL 35216-4536 | 2016-04-22 |
| 1568856961 | Agilitas Usa, Inc | Clinic/Center | 5541 Grove Blvd # C2, Hoover, AL 35226-4600 | 2015-03-24 |
| 1023299229 | Rehab Associates, LLC | Clinic/Center | 5295 Preserve Pkwy Ste 280, Hoover, AL 35244-4701 | 2007-11-16 |
| 1922424142 | Maximum Physical Therapy and Sports Wellness, Inc | Clinic/Center | 2680 Valleydale Rd, Suite A06, Hoover, AL 35244-2023 | 2014-03-12 |
| 1093840076 | Encore Rehabilitation, Inc | Clinic/Center | 2801 John Hawkins Pkwy, Suite 141k, Hoover, AL 35244-4007 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850385 | Thrive Physical Therapy and Wellness LLC | Clinic/Center | 4268 Cahaba Heights Ct Ste 104, Vestavia, AL 35243-5737 | 2020-08-04 |
| 1851915581 | Drmattdpt, LLC | Clinic/Center | 2615 South Ln, Mountain Brk, AL 35223-1131 | 2020-05-28 |
| 1215550702 | Good Samaritan Clinic Inc | Clinic/Center | 810 Shoney Dr Sw Ste 105, Huntsville, AL 35801-5450 | 2020-05-19 |
| 1417593625 | Drayer Physical Therapy Alabama LLC | Clinic/Center | 12420 Wildcat Dr Unit B, Northport, AL 35475-4576 | 2019-11-22 |
| 1861033466 | Bayside Physical Therapy, LLC | Clinic/Center | 341 Greeno Rd N Ste 102, Fairhope, AL 36532-2979 | 2019-10-04 |
| 1942850102 | Mobility Rehab LLC - Eastdale Estates | Clinic/Center | 5801 Eastdale Dr Apt 122, Montgomery, AL 36117-2160 | 2019-09-18 |
| 1861042384 | Encore Rehabilitation, Inc. | Clinic/Center | 852 S Forest Ave, Luverne, AL 36049-7016 | 2019-09-17 |
| 1043860893 | Alabama Fyzical | Clinic/Center | 4280 Watermelon Rd Ste 113, Northport, AL 35473-5163 | 2019-09-13 |
| 1497304323 | Encore Rehabilitation, Inc | Clinic/Center | 1059 Snow Road, Unit B, Mobile, AL 36695-3669 | 2019-09-04 |
| 1316594732 | Total Rehab Solutions LLC | Clinic/Center | 4 Chambers Sq, Valley, AL 36854-2800 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
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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.