1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Neuromusculoskeletal Medicine Omm
  6. NPI Profile

EVAN A. NICHOLAS DO
NPI 1457353336
Neuromusculoskeletal Medicine & OMM in Philadelphia, PA

Active since August 11, 2005
4190 CITY LINE AVE, PHILADELPHIA, PA 19131(215) 871-6425(215) 871-6490 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan A. Nicholas Do NPPES

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

EVAN A. NICHOLAS DO (NPI 1457353336) is an individual neuromusculoskeletal medicine & omm provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS004962L) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1457353336
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameEVAN A. NICHOLASCredential: DO
Location Address4190 CITY LINE AVEPhiladelphia, PA 19131-1626
Mailing Address4190 City Line AvePhiladelphia, PA 19131-1626 · (215) 871-6425 · Fax (215) 871-6490
Phone(215) 871-6425
Fax(215) 871-6490
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateFebruary 1, 2016
✔ NPI 1457353336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in PA · OS004962L
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
4190 CITY LINE AVE, Philadelphia, PA 19131
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND98751
Medicare PIN164292K7APA

Other Providers at the Same Location NPPES 7

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

KENNETH J. VEIT DO
Family Medicine
4190 CITY LINE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
HARRY J. MORRIS DO
Family Medicine
4190 CITY LINE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
MRS. MARGARET SPINOZZI
Dietitian, Registered
4190 CITY LINE AVE, SUITE 324
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1916
ALEXANDER S. NICHOLAS DO
Neuromusculoskeletal Medicine & OMM
4190 CITY LINE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6425
JOHN M. CAVENAGH PA
Physician Assistant
4190 CITY LINE AVE, SUITE 315
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
TODD D. VLADYKA DO
Family Medicine
4190 CITY LINE AVE, SUITE 100
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
NAVKIRAN KAUR DO
Student in an Organized Health Care Education/Training Program
4190 CITY LINE AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6695

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 Evan Nicholas's NPI number?

The NPI number for Evan Nicholas is 1457353336. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Evan Nicholas located?

Evan Nicholas practices at 4190 City Line Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6425.

What is Evan Nicholas's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

When was this NPI record last updated?

The NPPES record for Evan Nicholas was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.