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

Mr. Maverick Ray Nichols, DPT

Individual provider Physical Therapist · NPI 1902333198

Mr. Maverick Ray Nichols, DPT is a Physical Therapist in Private Practice in Okemos, Michigan. Qualified in 2017, 9 years ago. Practices with Orthopaedic Rehab Specialists PC, a 29-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
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

5100 Marsh Rd Ste G
Okemos, MI 48864-1195
Phone: (517) 220-4540
Fax: (517) 220-4652
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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 5501018201 (MI)

Record details

NPI number1902333198
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 18, 2017
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orthopaedic Rehab Specialists Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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