| Joseph John Nichols Iii, MPT | |
|
28535 Dupont Blvd, Unit 1, Millsboro, DE 19966-4799 | |
| (302) 297-0700 | |
| (302) 297-0701 |
| Full Name | Joseph John Nichols Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 28535 Dupont Blvd, Millsboro, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376622860 | NPI | - | NPPES |
| 0000220726 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | J10000921 (Delaware) | Primary |
| 225100000X | Physical Therapist | 18065 (Maryland) | Secondary |
| Provider Name | Ati Holdings, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061101000380 |
| Provider Name | Phoenix Rehabilitation And Health Services Of Delaware Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912951021 PECOS PAC ID: 0749349231 Enrollment ID: O20081113000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph John Nichols Iii, MPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Joseph John Nichols Iii, MPT 28535 Dupont Blvd, Unit 1, Millsboro, DE 19966-4799 Ph: (302) 297-0700 |
David Lee Pinkerton, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 213 E Dupont Hwy Unit 1, Millsboro, DE 19966 Phone: 302-297-0700 Fax: 302-297-0701 | |
Baylee Turetzky, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26744 John J Williams Hwy Unit 6, Millsboro, DE 19966 Phone: 302-945-4250 Fax: 302-945-3190 | |
Tyler Mentz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36932 Silicato Dr, Millsboro, DE 19966 Phone: 302-947-0781 | |
Dr. Mara Jeanine Driggers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 232 Mitchell St, Millsboro, DE 19966 Phone: 302-934-5830 | |
Swapna Bhupathi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Atlantic Shore Rehab And Health Center, 231 S Washington Street, Millsboro, DE 19966 Phone: 302-934-7300 | |
Kayla Facenbaker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31507 Oak Orchard Rd, Millsboro, DE 19966 Phone: 302-648-3360 | |
Amy Lewis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26396 Bay Farm Rd, Millsboro, DE 19966 Phone: 302-947-9662 Fax: 302-947-9692 |