Garrett Wayne Nicol, PT, DPT, ATC
NPI 1477039402ActiveIndividual· Physical Therapist· Grandview, MO
Physical Therapist (PT, DPT, ATC) in Grandview, Missouri, licensed in MO and KS, with an NPI issued in July 2018.
Overview
| NPI | 1477039402 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, ATC |
| Sole proprietor | No |
| NPI issued | Jul 12, 2018 |
| Last updated in NPPES | Dec 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2018025002 | MO |
| Physical Therapist | 225100000X | 11-05883 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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