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Tyler Nichols

NPI 1548984016ActiveIndividual· Physical Therapist· Southport, CT

Physical Therapist in Southport, Connecticut, with an NPI issued in September 2022. Medicare paid $6,630 for services to 32 patients in 2024.

Overview

NPI1548984016
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedSep 28, 2022
Last updated in NPPESSep 29, 2022
Certified by providerSep 29, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X—CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients32
Services billed358 across 9 procedure codes
Paid by Medicare$6,630

Medicare sources and data years

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