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

Christopher J Nicholson, DPT

Individual provider Physical Therapist · NPI 1679752752

Christopher J Nicholson, DPT is a Physical Therapist in Private Practice in Mill Creek, Washington. Qualified in 2007, 19 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group and accepts Medicare assignment. Licensed in Illinois and Washington.

Years since qualifying
19
Licensed in
IL, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

16310 Bothell Everett Hwy Ste C
Mill Creek, WA 98012-1284
Phone: (425) 582-5526
Fax: (425) 245-1019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00010766 (WA)
Physical Therapist Taxonomy 225100000X · Licence 070019792 (IL)

Record details

NPI number1679752752
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 25, 2007
Last updated in NPPESMarch 1, 2018
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

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 Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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