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

Evan A. Nicholas, DO

Individual provider Neuromusculoskeletal Medicine & OMM Physician · NPI 1457353336

Evan A. Nicholas, DO is a Neuromusculoskeletal Medicine & OMM Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4190 City Line Ave
Philadelphia, PA 19131-1626
Phone: (215) 871-6425
Fax: (215) 871-6490
Show map & directions

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

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence OS004962L (PA)

Record details

NPI number1457353336
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESFebruary 1, 2016

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