MR. BRIAN DAVID NICHOLS (NPI# 1679679088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679679088 |
| Entity Type | Individual |
| Full Name | MR. BRIAN DAVID NICHOLS |
| Credential | MPT ATC |
| Practice Address |
9652 W State Street Star ID 83669-5858 |
| Practice Telephone | 2082860766 |
| Practice Fax Number | 2082860768 |
| Mailing Telephone | 2082860766 |
| Mailing Fax Number | 2082860768 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2012-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | RPT1136 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 1136 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 000010147595 | 01 |
| ID | 806941900 | 05 | |
| ID | BLUE CROSS # | TA229 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649723370 | Brian David Nichols | Hearing Instrument Specialist | 8376 Seneca Tpke, New Hartford, NY 13413-4956 | 2016-07-29 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1013965813 | Brian E Nichols | Specialist/Technologist | 2300 Genoa Business Park Dr, Suite 120, Brighton, MI 48114-7367 | 2006-05-04 |
| 1700840840 | Brian Keith Nichols | Optometrist | 2001 W Ferguson Rd, Suite 2020, Mt Pleasant, TX 75455-2925 | 2006-04-14 |
| 1780661579 | Brian Gerard Nichols | Optometrist | 45 Pine Rd., 1st Medical Group, Langley Afb, VA 23665-2080 | 2005-12-22 |
| 1699727172 | Brian Nichols | Ophthalmology | 4745 Arapahoe Ave, Ste 100, Boulder, CO 80303-1080 | 2006-05-16 |
| Street Address |
9652 W STATE STREET |
| City | STAR |
| State | ID |
| Zip Code | 83669-5858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043380769 | Nichols Therapy Group PC | Physical Therapist | 9652 W State Street, Star, ID 83669-5858 | 2006-11-09 |
| 1184794810 | Judianne King Nichols | Physical Therapist | 9652 W State Street, Star, ID 83669-5858 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| 1285014779 | Boise River Physical Therapy | Physical Therapist | 64 S Star Road, Suite 2, Star, ID 83669 | 2015-06-01 |
| 1003250754 | Carol Tidwell | Counselor | 11104 W State St, Star, ID 83669 | 2013-04-24 |
| 1780816652 | Mark Olsen | Dentist | 12192 Evely Pines Ln, Star, ID 83669 | 2009-08-11 |
| 1770759912 | Richard E. Adams | Chiropractor | 11231 W Hercules Dr A, Star, ID 83669 | 2008-05-07 |
| 1861674707 | Keen Eye Vision Pllc | Optometrist | 170 South Seneca Springs Way, Suite 100, Star, ID 83669 | 2007-12-03 |
| 1639358773 | Natural Smile Dental Pllc | Dentist | 10706 W State St, Suite 105, Star, ID 83669 | 2007-10-25 |
| 1659566727 | Allied Mental Health Services, P.l.l.c. | Case Management | 11104 W. State St., Star, ID 83669 | 2007-09-11 |
| 1972709103 | Martin A Mangan | Family Medicine | 10717 W State Street, Star, ID 83669 | 2007-06-25 |
| 1699021246 | Leslie Leet | Social Worker | 246 N Main St, Star, ID 83669 | 2012-08-01 |
| Find all providers in zip 83669 | ||||
| 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 |
|---|---|---|---|---|
| 1285014779 | Boise River Physical Therapy | Physical Therapist | 64 S Star Road, Suite 2, Star, ID 83669 | 2015-06-01 |
| 1013106590 | Danielle-noelle D. Wuerfel | Physical Therapist | 2101 N Cardigan Ave, Star, ID 83669-6124 | 2007-10-19 |
| 1356426514 | Justin Hofhines | Physical Therapist | 9882 W State St, Star, ID 83669-5210 | 2006-10-26 |
| 1194822528 | Lindsey E. Decloss | Physical Therapist | 9652 W State St, Star, ID 83669-5858 | 2006-09-20 |
| 1043380769 | Nichols Therapy Group PC | Physical Therapist | 9652 W State Street, Star, ID 83669-5858 | 2006-11-09 |
| 1184794810 | Judianne King Nichols | Physical Therapist | 9652 W State Street, Star, ID 83669-5858 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584818 | Patricia Marie Fagen | Physical Therapist | 2175 N Whitley Dr, Fruitland, ID 83619-2132 | 2020-10-02 |
| 1235743436 | Trevor Baker Physical Therapy, Pllc | Physical Therapist | 3463 E 3890 N, Kimberly, ID 83341-5508 | 2020-09-04 |
| 1356954473 | Cassidy Fike | Physical Therapist | 5560 E Franklin Rd, Nampa, ID 83687-8450 | 2020-08-28 |
| 1609488303 | Spencer Reid Calhoun | Physical Therapist | 2411 E Riverside Dr Apt P308, Eagle, ID 83616-7573 | 2020-08-24 |
| 1124637095 | Rick Charles Loveland | Physical Therapist | 10390 W Sawtail St, Boise, ID 83714-9508 | 2020-07-27 |
| 1558979138 | Chloe Coleman | Physical Therapist | 1961 S Broadway Ave, Boise, ID 83706-4201 | 2020-07-20 |
| 1033737127 | Joshua Darwin Bischoff | Physical Therapist | 299 Anderson Rd, Shelley, ID 83274-4927 | 2020-07-06 |
| 1992322382 | Dallin Scott Wilkes | Physical Therapist | 2175 N Whitley Dr., Fruitland, ID 83619 | 2020-07-01 |
| 1730706581 | Ryan Jay Estus | Physical Therapist | 675 Yellowstone Ave # 1, Pocatello, ID 83201-4511 | 2020-06-28 |
| 1679199921 | Seth Robert Champlin | Physical Therapist | 3035 W Mcmillan Rd Ste 104, Meridian, ID 83646-6292 | 2020-06-23 |
| 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.