Charles Wayne Nichols Jr. (NPI# 1437355583, PAC ID# 7315100815) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1437355583 |
| PAC ID by PECOS | 7315100815 |
| Professional Enrollment ID | I20120521000347 |
| Full Name | Charles Wayne Nichols Jr. |
| Organization Legal Name | BLACKETER ENTERPRISES, INC |
| Address |
6033 W Interstate 20 Therapy Excellence Arlington TX 76017-1042 |
| Phone Number | 8174831746 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4981884905 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 | 8174831746 | BLACKETER ENTERPRISES, INC |
| 384 Sw Johnson Ave, Suite A1 Therapy Excellence, Burleson, TX 76028-5360 | 8174831746 | BLACKETER ENTERPRISES, INC |
| Organization Legal Name | BLACKETER ENTERPRISES, INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Allen Woods | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Zachary Blankenship | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Kory S Lancaster | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Cherie A Gilliland | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Stormie L Lee | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Jodi Blacketer | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Janelle M Topliff | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Allison P Talley | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Kayla Mae Crocker | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Emily Paslay | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Street Address |
6033 W INTERSTATE 20 THERAPY EXCELLENCE |
| City | ARLINGTON |
| State | TX |
| Zip | 76017-1042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Allen Woods | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Zachary Blankenship | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Kory S Lancaster | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Cherie A Gilliland | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Stormie L Lee | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Jodi Blacketer | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Janelle M Topliff | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Allison P Talley | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Kayla Mae Crocker | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Emily Paslay | Physical Therapy | Blacketer Enterprises, Inc | 6033 W Interstate 20, Therapy Excellence, Arlington, TX 76017-1042 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Leigh Janecek | Psychologist, Clinical | Center for Psychological Services, Pllc | 6043 W Interstate 20, Arlington, TX 76017-1042 |
| Tevin James Powers | Physical Therapy | Therapy Excellence Inc. | 6049 Interstate 20 W, Arlington, TX 76017-1042 |
| Cynthia Ward | Clinical Social Worker | Center for Psychological Services, Pllc | 6043 W Interstate 20, Arlington, TX 76017-1042 |
| Benjamin Korman | Clinical Social Worker | 6001w Interstate 20 216, Arlington, TX 76017-1044 | |
| Felicia Korman | Clinical Social Worker | Korman and Associates, PC | 6001w Interstate 20 216, Arlington, TX 76017-1044 |
| Michael S Carlton | Nurse Practitioner | Texas Health Care Pllc | 4700 Little Rd, Arlington, TX 76017-1058 |
| Arnold J Morris Jr. | Family Practice | A.j. Morris, Md, Pa | 4790 Little Rd, Arlington, TX 76017-1058 |
| Arnold Morris Iii | Family Medicine | Texas Health Care Pllc | 4700 Little Rd, Arlington, TX 76017-1058 |
| Temeka L Stoker | Nurse Practitioner | Texas Health Care Pllc | 4700 Little Rd, Arlington, TX 76017-1058 |
| Brinda Matamana | Nurse Practitioner | Texas Health Care Pllc | 4700 Little Rd, Arlington, TX 76017-1058 |
| Find all physicians in zip 76017 | |||
| City | ARLINGTON |
| Zip Code | 76017 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ARLINGTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Charles Wayne Nichols Jr..
| 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.