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

Max Willard Nicholson III, DPT

Individual provider Physical Therapist · NPI 1801750336

Max Willard Nicholson III, DPT is a Physical Therapist in Private Practice in Williamsport, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Family Practice Center PC, a 347-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
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

2350 E 3rd St
Williamsport, PA 17701-4088
Phone: (570) 360-5915
Fax: (570) 560-6501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT034019 (PA)

Record details

NPI number1801750336
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 10, 2025
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address7 Dock Hill Rd, Middleburg, PA 17842-8910

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Family Practice Center Pc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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