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THERESA NICHOLSON DPT
NPI 1336891183
Physical Therapist - Pediatrics in Decatur, GA

Active since January 24, 2022
2107 N DECATUR RD UNIT 506, DECATUR, GA 30033(470) 831-4049(770) 626-0089 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2025, Jan 24, 2022 (2 updates tracked since 2022).

About Theresa Nicholson Dpt NPPES

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

THERESA NICHOLSON DPT (NPI 1336891183) is an individual pediatrics provider in Decatur, Georgia, licensed in Georgia (PT015743) and active in the NPI registry since January 2022. She maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1336891183
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameTHERESA NICHOLSONCredential: DPT
Location Address2107 N DECATUR RD UNIT 506Decatur, GA 30033-5305
Mailing Address2107 N Decatur Rd Unit 506Decatur, GA 30033-5305 · (470) 831-4049 · Fax (770) 626-0089
Phone(470) 831-4049
Fax(770) 626-0089
Sole ProprietorNo
Enumeration DateJanuary 24, 2022
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1336891183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in GA · PT015743
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License PT015743 (GA)
2107 N DECATUR RD UNIT 506, Decatur, GA 30033
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Secondary Practice Location 1

Location 11240 Highway 54 W Ste 404Fayetteville, GA 30214-4564 · Phone (470) 615-0485

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAND SPEECH PATHOLOGY LLC
Behavior Analyst
2107 N DECATUR RD UNIT 506
DECATUR, GA 30033
Dekalb County (678) 429-3790
DR. VISHWA SEVAK OTD/R/L
Occupational Therapist
2107 N DECATUR RD UNIT 506
DECATUR, GA 30033
Dekalb County (470) 825-7000

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 Theresa Nicholson's NPI number?

The NPI number for Theresa Nicholson is 1336891183. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Theresa Nicholson located?

Theresa Nicholson practices at 2107 N Decatur Rd Unit 506, Decatur, GA 30033. The listed phone number is (470) 831-4049.

What is Theresa Nicholson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Theresa Nicholson was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.