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

Mr. Keegan Nichols, MS, ATC, SPT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265802631

Mr. Keegan Nichols, MS, ATC, SPT is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with Wright Physical Therapy Limited Partnership, a 53-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2015
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boise, ID
Fax: (208) 323-9752

No coordinates on file. Search this address in Google Maps

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7532 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265802631
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , SPT
Sole proprietorNo
NPI enumeratedSeptember 29, 2015
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wright Physical Therapy Limited Partnership — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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