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

Charles Nichols III

Individual provider Physical Therapist · NPI 1194346502

Charles Nichols III is a Physical Therapist in Private Practice in Spokane, Washington. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

119 W Columbia Ave
Spokane, WA 99205-6224
Phone: (509) 294-5579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 60380553 (WA)
Physical Therapist Taxonomy 225100000X · Licence 60360553 (WA)

Record details

NPI number1194346502
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2020
Last updated in NPPESMay 4, 2020
Certification dateMay 4, 2020
Mailing address119 W Columbia Ave, Spokane, WA 99205-6224

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Spokane