SAMUEL MARTIN NICHOLAS DPT
NPI 1730785650
Physical Therapist in Oregon City, OR
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
Specialties & Licenses
- 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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Nicholas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oregon City, OR 97045
- Reassigned Medicare billing, Washington enrollment
- 24 clinicians in this Medicare group
Portland, OR 97210
- Reassigned Medicare billing, Oregon enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Samuel Nicholas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Nicholas reassigns Medicare benefits to 2 organizations: New Proactive LLC (Oregon City, OR) and Kjb Consulting Corporation (Portland, OR). Each 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 Samuel Nicholas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Nicholas accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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.