IndividualActive
Bryan Nichols, PT
NPI 1649512930 · Orthopedic Physical Therapist · Philadelphia, PA
Provider details
- NPI number
- 1649512930
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT025855 (PA)
Practice location
1518 Walnut St Ste 401
Philadelphia, PA 19102-3403
Phone: (267) 777-9872
Mailing address
1500 Walnut St Ste 7001a
Philadelphia, PA 19102-3523
Registry dates
- Enumerated
- 2013-03-25
- Last updated
- 2020-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.