CHARLES NICHOLS III (NPI# 1194346502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194346502 |
| Entity Type | Individual |
| Full Name | CHARLES NICHOLS III |
| Practice Address |
119 W Columbia Ave Spokane WA 99205-6224 |
| Practice Telephone | 5092945579 |
| Mailing Telephone | 5092945579 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 60360553 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
60380553 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1437355583 | Charles Wayne Nichols Jr. | Physical Therapist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2007-06-25 |
| 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 |
119 W COLUMBIA AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063778 | Northwest Mobile Physical Therapy Specialists Pllc | Clinic/Center | 119 W Columbia Ave, Spokane, WA 99205-6224 | 2020-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295999621 | Renee Lach | Physical Therapist | 911 W 5th Ave, Spokane, WA 99204-2901 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740724475 | Aaron Scheidies | Physical Therapist | 2121 N 113th St, Unit A, Seattle, WA 98133-8502 | 2016-12-15 |
| 1255780961 | Kenneth James Overman | Physical Therapist | 17518 123rd Ave Ne, Crown Hill - Seven Springs, Arlington, WA 98223-7973 | 2016-06-03 |
| 1992127229 | Marissa Reis | Physical Therapist | 1211 Sw 132nd Ln Apt 412, Burien, WA 98146-4009 | 2014-01-06 |
| 1801226444 | Tracy Ann Grimes | Physical Therapist | 7231 Highlands Dr Ne, Olympia, WA 98516-2134 | 2013-11-18 |
| 1417391186 | Heather Elaine Sheppard | Physical Therapist | 1010 South 336th St, Suite 210, Federal Way, WA 98003 | 2013-04-24 |
| 1225338874 | Bothell Pediatric and Hand Therapy | Physical Therapist | 18501 Bothell Way Ne, Bothell, WA 98011 | 2010-10-29 |
| 1164754818 | Mary Delap Sandstrom | Physical Therapist | 956 21st Ave E, Seattle, WA 98112-3511 | 2010-02-05 |
| 1871829879 | Keri Poffel | Physical Therapist | 1309 S I St, Port Angeles, WA 98363-6830 | 2009-10-26 |
| 1518165372 | Debra Marie Robert | Physical Therapist | 835 Madison Ave North, Bainbridge Island, WA 98110 | 2007-07-03 |
| 1467540039 | Sharon Annette Hall | Physical Therapist | 14204 S Andrus Rd, Cheney, WA 99004-9059 | 2006-10-10 |
| 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.