JEFF NICHOLL PHYSICAL THERAPY & SPORTS REHABILITATION, INC.
NPI 1083905277
Physical Therapist - Orthopedic in Camarillo, CA

Q: What is Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Active since April 22, 2011

516 LAS POSAS RD, CAMARILLO, CA 93010(805) 388-5678(805) 388-5665 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFF NICHOLL PHYSICAL THERAPY & SPORTS REHABILITATION, INC. (NPI 1083905277) is a healthcare organization registered as an orthopedic in Camarillo, California and active in the NPI registry since April 2011. The organization lists Jeff Nicholl, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1083905277

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameJEFF NICHOLL PHYSICAL THERAPY & SPORTS REHABILITATION, INC.

Location Address516 LAS POSAS RDCamarillo, CA 93010-5705

Mailing AddressPo Box 3783Ventura, CA 93006-3783 · (805) 388-5678 · Fax (805) 388-5665

Phone(805) 388-5678

Fax(805) 388-5665

Organization SubpartNo

Authorized OfficialJeff NichollPhysical Therapist · (805) 388-5678

Enumeration DateApril 22, 2011

✔ NPI 1083905277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · 17739

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

516 LAS POSAS RD, Camarillo, CA 93010

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Nicholl, PT

Physical Therapist in Private Practice

NPI 1437128931

516 LAS POSAS RD
Camarillo, CA 93010

(805) 388-5678

Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc.'s NPI number?

The NPI number for Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. is 1083905277. It was assigned to this organization in the NPPES registry on April 22, 2011.

Where is Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. located?

Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. is located at 516 Las Posas Rd, Camarillo, CA 93010. The listed phone number is (805) 388-5678.

What is Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. enrolled in Medicare?

Yes. Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. was last updated on April 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.