Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Addison Owen Nichols

Individual provider Physical Therapist · NPI 1770142010

Addison Owen Nichols is a Physical Therapist in Private Practice in Newton, Kansas. Qualified in 2019, 7 years ago. Practices with Advanced PT of Newton, LLC, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
7
Licensed in
KS
In the registry since
2019
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Practice location Address checks out

2311 S Kansas Rd
Newton, KS 67114-9032
Phone: (316) 283-7187
Fax: (316) 283-7189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 S Main St, Hesston, KS 67062-8974 — (620) 327-3495

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-06133 (KS)

Record details

NPI number1770142010
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESJune 11, 2019
Mailing address2311 S Kansas Rd, Newton, KS 67114-9032

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advanced Pt Of Newton, Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Newton