Organization
NICHOLSON PHYSICAL THERAPY, LLC
Active
Organization
NICHOLSON PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARVICE GARRETT NICHOLSON JR. PT (OWNER)
(205) 377-6960
Entity
Organization
Contact information
Practice address
216 LORNA SQ, HOOVER, AL 35216-5439
(205) 377-6960
(205) 449-2536
Mailing address
1912 MAYFLOWER DR, HOOVER, AL 35226-3316
(205) 377-6960
(205) 449-2536
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTH363
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275651572
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/02/2017
Last updated
08/02/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up