IndividualActive
Brian Nicholson, PT
NPI 1508477340 · Physical Therapist · Gainesville, FL
Provider details
- NPI number
- 1508477340
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT12720 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
8100 Nw 27th Blvd Apt D116
Gainesville, FL 32606-8613
Phone: (352) 792-6464
Street-level locationGet directions
Mailing address
529 Sw Grandview St
Lake City, FL 32025-6614
Additional practice locations (2)
- 8100 Nw 27th Blvd Apt D116Gainesville, FL 32606-8613Phone: (352) 792-6464
- 8100 Nw 27th Blvd Apt D116Gainesville, FL 32606-8613Phone: (352) 792-6464
Registry dates
- Enumerated
- 2020-08-14
- Last updated
- 2020-08-14
- Certified
- 2020-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.