NPI age
4 years
Enumerated 2022-02-28
● Active
Type 1 · Individual
Jeremiah Tate Nichols, PTA, LAT, ATC
Nichols is 1 of 15 physical therapy assistant providers in Canton and 1 of 1124 in Georgia.
Primary specialty
Physical Therapy Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1124 active physical therapy assistant providers in Georgia.
NPI age
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 8% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-02Enumerated in NPPES
2022
2026
Where they practice
Practice location
147 Reinhardt College Pkwy Ste 9
Canton, GA 301145295
Mailing address
4384 Earney Rd
Woodstock, GA 301885600
Specialties
-
Physical Therapy Assistant Primary(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
-
Specialist/TechnologistAthletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physical therapy assistant provider has been added in Canton in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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