SAMUEL MARTIN NICHOLAS DPT
NPI 1730785650
Physical Therapist in Oregon City, OR

Active since December 07, 2020Accepts Medicare Assignment
1630 BEAVERCREEK RD, OREGON CITY, OR 97045(503) 607-0047(503) 607-0051 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Samuel Martin Nicholas Dpt NPPES

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

SAMUEL MARTIN NICHOLAS DPT (NPI 1730785650) is an individual physical therapist in Oregon City, Oregon, licensed in Oregon (63810) and active in the NPI registry since December 2020. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1730785650
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSAMUEL MARTIN NICHOLASCredential: DPT
Location Address1630 BEAVERCREEK RDOregon City, OR 97045-4156
Mailing AddressPo Box 578Troutdale, OR 97060-0578 · (503) 489-1174
Fax(503) 607-0051
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
NPI 1730785650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in OR · 63810 Licensed in WA · CP0003840T
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1630 BEAVERCREEK RD, Oregon City, OR 97045

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel Martin Nicholas Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254743198
PECOS Enrollment IDI20210105000641

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Physical Therapist
1630 BEAVERCREEK RD, SUITE A
OREGON CITY, OR 97045

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 Samuel Nicholas's NPI number?

The NPI number for Samuel Nicholas is 1730785650. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Samuel Nicholas located?

Samuel Nicholas practices at 1630 Beavercreek Rd, Oregon City, OR 97045. The listed phone number is (503) 607-0047.

What is Samuel Nicholas's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Samuel Nicholas enrolled in Medicare?

Yes. Samuel Nicholas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Nicholas accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Samuel Nicholas 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 Samuel Nicholas was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.