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

Individual provider Physical Therapist · NPI 1912177411

Beth Marie Nicholson, DPT is a Physical Therapist in Private Practice in Bismarck, North Dakota. Qualified in 2007, 19 years ago. Practices with Ccs Physical Therapy, LLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
19
Licensed in
MT
In the registry since
2008
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1122 W Divide Ave
Bismarck, ND 58501-1202
Phone: (701) 258-5058
Fax: (701) 258-1041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 915 Highland Blvd, Bozeman, MT 59715-6902 — (406) 585-1002

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2076 (MT)

Record details

NPI number1912177411
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 11, 2008
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ccs Physical Therapy, Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bismarck