Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Judianne King Nichols, MPT

Individual provider Physical Therapist · NPI 1184794810

Mrs. Judianne King Nichols, MPT is a Physical Therapist in Private Practice in Star, Idaho. Qualified in 1998, 28 years ago. Practices with Nichols Therapy Group PC, a 7-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
28
Licensed in
ID
In the registry since
2006
Specialties on file
3
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

9652 W State St
Star, ID 83669-5858
Phone: (208) 286-0766
Fax: (208) 286-0768
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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 RPT1371 (ID)
Physical Therapist Taxonomy 225100000X · Licence 1371 (ID)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1184794810
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedNovember 9, 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 1998 (28 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