Brian David Nichols, MPT ATC
NPI 1679679088ActiveIndividual· Physical Therapist· Star, ID
Physical Therapist (MPT ATC) with Nichols Therapy Group P.C., practicing in Star, Idaho. Medicare paid $40,636 for services to 56 patients in 2024.
Overview
| NPI | 1679679088 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT ATC |
| Sole proprietor | No |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Jul 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | RPT1136 | ID |
| Physical Therapist | 225100000X | 1136 | ID |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 2,327 across 11 procedure codes |
| Paid by Medicare | $40,636 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Nichols Therapy Group P.C.Star, ID · 8 clinicians
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