DR. LARRY E NICHOLSON D.C.
NPI 1548332083
Chiropractor - Sports Physician in Tracy, CA

Q: What is Larry Nicholson's NPI number?

The NPI number for Larry Nicholson is 1548332083. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Larry Nicholson's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Larry Nicholson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 13, 2006

1011 PARKER AVE, TRACY, CA 95376(209) 836-0250(209) 836-5037 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Larry E Nicholson D.c. NPPES

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

DR. LARRY E NICHOLSON D.C. (NPI 1548332083) is an individual sports physician in Tracy, California, licensed in California (17771) and active in the NPI registry since November 2006. He is a graduate of Other (1986).

NPPES Registry Identity

NPI1548332083

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. LARRY E NICHOLSONCredential: D.C.

Location Address1011 PARKER AVETracy, CA 95376

Mailing Address1011 Parker AveTracy, CA 95376 · (209) 836-0250 · Fax (209) 836-5037

Phone(209) 836-0250

Fax(209) 836-5037

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateNovember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1548332083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in CA · 17771

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

1011 PARKER AVE, Tracy, CA 95376

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Other Identifiers 3

Medicare UPINT82659CA

Medicare ID-Type UnspecifiedDC0177710CA

OtherDC0177710CA · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larry E Nicholson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496809089

PECOS Enrollment IDI20090817000438

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

676 services72 patients

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

149 services18 patients

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 Larry Nicholson's NPI number?

The NPI number for Larry Nicholson is 1548332083. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Larry Nicholson located?

Larry Nicholson practices at 1011 Parker Ave, Tracy, CA 95376. The listed phone number is (209) 836-0250.

What is Larry Nicholson's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Larry Nicholson enrolled in Medicare?

Yes. Larry Nicholson is registered in the Medicare PECOS enrollment system.

What insurance does Larry Nicholson accept?

Health plans from Providence Health Plan list Larry Nicholson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larry Nicholson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.