Jamie Nichols (NPI# 1356822514, PAC ID# 5092069328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1356822514 |
| PAC ID by PECOS | 5092069328 |
| Professional Enrollment ID | I20181126001468 |
| Full Name | Jamie Nichols |
| Organization Legal Name | ODOM SPORTS MEDICINE PA |
| Address |
750 Mississippi River Blvd S Saint Paul MN 55116-1006 |
| Phone Number | 6516981111 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0143485607 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3810 Alder Ln, Eagan, MN 55122-3831 | 6513792410 | ODOM SPORTS MEDICINE PA |
| 750 Mississippi River Blvd S, Saint Paul, MN 55116-1006 | 6516981111 | ODOM SPORTS MEDICINE PA |
| Organization Legal Name | ODOM SPORTS MEDICINE PA |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianna Knack | Occupational Therapy | Odom Sports Medicine Pa | 2750 Victoria St N, Roseville, MN 55113-2094 |
| Christa Marie Haskins | Physical Therapy | Odom Sports Medicine Pa | 500 S Cherry St, Waconia, MN 55387-4515 |
| Anastasia K Pitzen | Occupational Therapy | Odom Sports Medicine Pa | 1915 N 34th St, Superior, WI 54880-5575 |
| Charlotte A Meyer | Occupational Therapy | Odom Sports Medicine Pa | 334 Cedardale Dr Se, Owatonna, MN 55060-4467 |
| Allison Marie Holzwarth | Physical Therapy | Odom Sports Medicine Pa | 4685 Park Nicollet Ave Se, Prior Lake, MN 55372-3926 |
| Katherine Price | Occupational Therapy | Odom Sports Medicine Pa | 32 10th Ave S, Hopkins, MN 55343-9402 |
| Jayd A Sharpe | Occupational Therapy | Odom Sports Medicine Pa | 100 Dublin Ct, Mankato, MN 56001-5281 |
| Courtney A Karalus | Physical Therapy | Odom Sports Medicine Pa | 3801 Hart Blvd, Columbia Heights, MN 55421-4106 |
| Jessica A Kimberly | Occupational Therapy | Odom Sports Medicine Pa | 1900 10th St, Silvis, IL 61282-1909 |
| Kelly S Stokes | Physical Therapy | Odom Sports Medicine Pa | 2195 Century Ave S, Woodbury, MN 55125-2943 |
| Street Address |
750 MISSISSIPPI RIVER BLVD S |
| City | SAINT PAUL |
| State | MN |
| Zip | 55116-1006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noah J Simcox | Clinical Social Worker | 750 Mississippi River Blvd S, Saint Paul, MN 55116-1006 | |
| Dustin M Evans | Occupational Therapy | Odom Sports Medicine Pa | 750 Mississippi River Blvd S, Saint Paul, MN 55116-1006 |
| Kimberly A Flohr | Occupational Therapy | Odom Sports Medicine Pa | 750 Mississippi River Blvd S, Saint Paul, MN 55116-1006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shani K Norberg | Neurology | Remote Neuromonitoring Physicians PC | 715 Mount Curve Blvd, Saint Paul, MN 55116-1109 |
| Maureen R Kelly | Clinical Social Worker | 670 Cleveland S Ave, Saint Paul, MN 55116-1218 | |
| Kurt N Brausen | Chiropractic | 621 Cleveland S Ave, Saint Paul, MN 55116-1241 | |
| Charles S Kim | Physical Medicine and Rehabilitation | 631 Cleveland Ave S, Suite 5, Saint Paul, MN 55116-1244 | |
| James D Rossini | Internal Medicine | Central Internal Medicine Associates Pa | 635 Cleveland Ave S, Saint Paul, MN 55116-1244 |
| Fredrick O Ferris | Internal Medicine | Central Internal Medicine Associates Pa | 635 Cleveland Ave S, Saint Paul, MN 55116-1244 |
| Brian J Snyder | Optometry | 757 Cleveland S Ave, Saint Paul, MN 55116-1302 | |
| Anne Langford | Chiropractic | Langford Chiropractic Pa | 730 S Cleveland Ave, Saint Paul, MN 55116-1345 |
| Heather Karls | Chiropractic | Langford Chiropractic Pa | 730 S Cleveland Ave, Saint Paul, MN 55116-1345 |
| Jessica L Eliason | Chiropractic | Langford Chiropractic Pa | 730 S Cleveland Ave, Saint Paul, MN 55116-1345 |
| Find all physicians in zip 55116 | |||
| City | SAINT PAUL |
| Zip Code | 55116 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SAINT PAUL + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jamie Nichols.
| 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.