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

Samuel Martin Nicholas, DPT

Individual provider Physical Therapist · NPI 1730785650

Samuel Martin Nicholas, DPT is a Physical Therapist in Private Practice in Oregon City, Oregon. Qualified in 2020, 6 years ago. Practices with Kjb Consulting Corporation, an 18-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
6
Licensed in
OR, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1630 Beavercreek Rd
Oregon City, OR 97045-4156
Phone: (503) 607-0047
Fax: (503) 607-0051
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 63810 (OR)
Physical Therapist Taxonomy 225100000X · Licence CP0003840T (WA)

Record details

NPI number1730785650
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kjb Consulting Corporation — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oregon City