Addison Owen Nichols
NPI 1770142010ActiveIndividual· Physical Therapist· Newton, KS
Physical Therapist with Advanced PT of Newton, LLC, practicing in Newton, Kansas. Medicare paid $69,500 for services to 223 patients in 2024.
Overview
| NPI | 1770142010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 11, 2019 |
| Last updated in NPPES | Jun 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11-06133 | 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) | Enrolled Practitioner - Physical Therapist in Private Practice (KS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 223 |
|---|---|
| Services billed | 4,452 across 16 procedure codes |
| Paid by Medicare | $69,500 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Advanced PT of Newton, LLCNewton, KS · 19 clinicians
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