Benjamin J Nicholls
PERFORMANCE WEST PHYSICAL THERAPY


Address: 2131 N 5500, Eden, UT 84310-9624
Phone: 8017453200

Benjamin J Nicholls (NPI# 1558876896, PAC ID# 4183983034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1558876896
PAC ID by PECOS 4183983034
Professional Enrollment ID I20180122002541
Full Name Benjamin J Nicholls
Organization Legal Name PERFORMANCE WEST PHYSICAL THERAPY
Address 2131 N 5500
Eden
UT 84310-9624
Phone Number 8017453200
Gender M
Graduation Year 2013
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 4789649047
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2131 N 5500, Eden, UT 84310-9624 8017453200 PERFORMANCE WEST PHYSICAL THERAPY

Organization Information

Organization Legal Name PERFORMANCE WEST PHYSICAL THERAPY
Physicians 10

Physicians with the same organization

Name Specialty Organization Address
Dereck B Hope Physical Therapy Performance West Physical Therapy 1266 Legend Hills Dr, Suite B2, Clearfield, UT 84015-2275
Christopher J Nichols Physical Therapy Performance West Physical Therapy 1551 Renaissance Towne Dr, Suite 350, Bountiful, UT 84010-7674
Curtis B Jolley Physical Therapy Performance West Physical Therapy 1551 Renaissance Towne Dr, Suite 350, Bountiful, UT 84010-7674
Kim W Reid Physical Therapy Performance West Physical Therapy 1551 Renaissance Towne Dr, Suite 350, Bountiful, UT 84010-7674
Amanda B Thompson Physical Therapy Performance West Physical Therapy 1551 Renaissance Towne Dr, Suite 350, Bountiful, UT 84010-7674
Stuart C Sondrup Physical Therapy Performance West Physical Therapy 1551 Renaissance Towne Dr, Suite 350, Bountiful, UT 84010-7674
Megan Moss Physical Therapy Performance West Physical Therapy 1551 Renaissance Towne Dr, Suite 350, Bountiful, UT 84010-7674
Brandon I Arrington Physical Therapy Performance West Physical Therapy 1551 Renaissance Towne Dr, Suite 350, Bountiful, UT 84010-7674
Klementina T Buchheister Physical Therapy Performance West Physical Therapy 1551 Renaissance Towne Dr, Suite 350, Bountiful, UT 84010-7674

Office Location

Street Address 2131 N 5500
City EDEN
State UT
Zip 84310-9624

Competitor

Search similar physicians

City EDEN
Zip Code 84310
Specialty PHYSICAL THERAPY
City + Specialty EDEN + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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