Active NPIIndividual providerSole proprietor

Tyler Nichols

Physical Therapist in Southport, Connecticut

NPI Number1548984016
Practice location
3530 Post RD Ste 202, Southport, CT 06890-1169
Fax
—
Last updated
September 29, 2022

Tyler Nichols is a Physical Therapist based in Southport, CT. Tyler Nichols practices in Southport, CT. The NPI Number for Tyler Nichols is 1548984016. The current practice location address for Tyler Nichols is 3530 Post RD Ste 202, Southport, CT 06890-1169 and can be reached out via phone at 203-307-4600.

Provider Profile Details

NPI Number
1548984016
Provider Name
Tyler Nichols
Provider Entity Type
Individual
Gender
Male
Address
3530 Post RD Ste 202, Southport, CT 06890-1169
Phone Number
203-307-4600
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 28, 2022
Last Update Date
September 29, 2022
Certification Date
September 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3530 Post RD Ste 202
Southport, CT 06890-1169
Zip
06890-1169
Phone Number
203-307-4600
Southport, CT 06890Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5859

License Information

License State
CT
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tyler Nichols?

The NPI number of Tyler Nichols is 1548984016. It was assigned on September 28, 2022 and is currently active in the NPPES registry.

What is the specialty of Tyler Nichols?

Tyler Nichols is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Tyler Nichols practice?

The practice location is 3530 Post RD Ste 202, Southport, CT 06890-1169. The office can be reached at 203-307-4600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548984016 directly on the NPPES registry website.

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