Deidra Nichols, DPT
NPI 1225390305 · Physical Therapist · Shelley, ID
Deidra Nichols, DPT is a Physical Therapist provider in Shelley, ID (NPI 1225390305).
Provider details
- NPI number
- 1225390305
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT3043 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1441 Parkway DrBlackfoot, ID 83221-1667Phone: (208) 785-3446Fax: (208) 782-1885
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2019-12-31
- Certified
- 2019-12-31
Frequently asked questions
- What is Deidra Nichols's NPI number?
- Deidra Nichols's National Provider Identifier (NPI) is 1225390305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deidra Nichols's specialty?
- Deidra Nichols is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Deidra Nichols located?
- Deidra Nichols's practice location on file with NPPES is 650 N State St, Shelley, ID 83274-4900.
- What is Deidra Nichols's phone number?
- The practice phone number listed in the NPPES registry for Deidra Nichols is (208) 782-4744.
- Is Deidra Nichols's NPI active?
- Yes — Deidra Nichols's NPI (1225390305) is active in the NPPES registry as of the last update on 2019-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.