Nicole Nichols, PT, DPT
NPI 1336301704ActiveIndividual· Physical Therapist· East Jordan, MI
Physical Therapist (PT, DPT) in East Jordan, Michigan, licensed in NC and MI, with an NPI issued in June 2008.
Overview
| NPI | 1336301704 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 27, 2008 |
| Last updated in NPPES | Dec 7, 2024 |
| Certified by provider | Dec 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT13066 | NC |
| Physical Therapist | 225100000X | 5501012800 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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