P Praxis·MD
● Active Type 2 · Organization

Nichols Therapy Group Pc

Physical Therapist·Star, ID· NPI 1043380769 · Enumerated 2006 · 19 years on NPI
Nichols Therapy Group Pc is 1 of 2006 physical therapist organizations in Idaho.
NPI age
19 years
Enumerated 2006-11-09
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nichols
President
Last NPPES update
2012-06-29
Source: monthly bulk 2026-05

How this organization compares

Across 2006 active physical therapist providers in Idaho.

NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
9652 W State Street
Star, ID 836695858
📞 2082860766fax 2082860768
Mailing address
9652 W State Street
Star, ID 836695858
📞 2082860766fax 2082860768

Authorized official

Brian David Nichols, MPT
President
📞 2082860766

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    ID license #1136ID license #RPT1371ID license #RPT1136 taxonomy 225100000X

Identifiers

TypeValueNotes
05 (ID) 80694000

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • NorthStar Physical Therapy
    Type code 3 recorded 2006-11-09

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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