Nichols Therapy Group PC
Nichols Therapy Group PC is a healthcare organization registered as Physical Therapist in Star, ID, holding Type 2 (organization) NPI 1043380769 since 2006. The authorized official on file is Brian Nichols, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043380769 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Nichols Therapy Group PC |
| Other name | <Unavail> |
| Practice address | 9652 W STATE STREET, Star, ID, 83669 |
| Phone | 2082860766 |
| Fax | 2082860768 |
| Enumeration date | 2006-11-09 |
| Last updated in NPPES | 2012-06-29 |
Authorized official
| Name | Brian Nichols |
|---|---|
| Title | President |
| Phone | 2082860766 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Secondary | RPT1371 | ID |
| 225100000X | Physical Therapist | Secondary | RPT1136 | ID |
| 225100000X | Physical Therapist | Primary | 1136 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80694000 | Medicaid | ID | — |
Copy-ready billing details
Provider: Nichols Therapy Group PC NPI: 1043380769 Taxonomy: 225100000X (Physical Therapist) Address: 9652 W STATE STREET, Star, ID, 83669
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679679088 | Brian Nichols | Individual | Physical Therapist | Star, ID |
| 1184794810 | Judianne Nichols | Individual | Physical Therapist | Star, ID |
Verify this record
Cross-check NPI 1043380769 against the authoritative CMS record: view Nichols Therapy Group PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Nichols Therapy Group PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-06-29.