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

Mr. Brian David Nichols, MPTATC

Individual provider Physical Therapist · NPI 1679679088

Mr. Brian David Nichols, MPTATC is a Physical Therapist in Private Practice in Star, Idaho. Qualified in 1996, 30 years ago. Practices with Nichols Therapy Group PC, a 7-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
30
Licensed in
ID
In the registry since
2006
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9652 W State St
Star, ID 83669-5858
Phone: (208) 286-0766
Fax: (208) 286-0768
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence RPT1136 (ID)
Physical Therapist Taxonomy 225100000X · Licence 1136 (ID)

Record details

NPI number1679679088
Entity typeIndividual (Type 1)
GenderMale
Credentials MPTATC
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 2, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Nichols Therapy Group P.C. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Star