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

Individual provider Physical Therapist · NPI 1992213169

Leah Ellen Nichols, PT, DPT is a Physical Therapist in Chicago, Illinois. Works from 2 locations. Licensed in Alaska and Illinois.

Licensed in
AK, IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4639 W Diversey Ave
Chicago, IL 60639
Phone: (773) 360-5485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12812 Old Glenn Hwy Ste A3, Eagle River, AK 99577-7003 — (907) 317-9349

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 128786 (AK)
Physical Therapist Taxonomy 225100000X · Licence 070023074 (IL)

Record details

NPI number1992213169
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 22, 2018
Last updated in NPPESJuly 3, 2019

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