Adam Nicholson, PT, DPT is a
Physical Therapist based in Watseka, Illinois. Adam Nicholson is licensed to practice in Illinois (license number 070.022059) and his current practice location is
1490 E Walnut St, Watseka, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 432-0250.
NPI number for Adam Nicholson is 1053121582 and his current mailing address is 5919 Margo Dr, Saint Anne, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053121582.
Healthcare Provider's Profile
Full Name | Adam Nicholson |
---|
Gender | Male |
---|
Speciality | Physical Therapist |
---|
Location | 1490 E Walnut St, Watseka, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053121582
- Provider Enumeration Date: 01/08/2025
- Last Update Date: 01/08/2025
Medical Identifiers
Medical identifiers for Adam Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053121582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070.022059 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Adam Nicholson, PT, DPT 5919 Margo Dr, Saint Anne, IL 60964-4433 Ph: () - | Adam Nicholson, PT, DPT 1490 E Walnut St, Watseka, IL 60970-1830 Ph: (815) 432-0250 |
Reviews and Comments