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

Whitney Nichols, DOCTOR

Individual provider Physical Therapist · NPI 1497237150

Whitney Nichols, DOCTOR is a Physical Therapist in Private Practice in Maryville, Illinois. Qualified in 2013, 13 years ago. Practices with Interventional Pain Consultants LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2018
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Practice location Address checks out

2023 Vadalabene Dr Ste 300
Maryville, IL 62062-5846
Phone: (618) 288-6722
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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 070023352 (IL)

Record details

NPI number1497237150
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOCTOR
Sole proprietorNo
NPI enumeratedAugust 29, 2018
Last updated in NPPESAugust 29, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Interventional Pain Consultants Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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