MAX WILLARD NICHOLSON III DPT
NPI 1801750336
Physical Therapist in Williamsport, PA
About Max Willard Nicholson Iii Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAX WILLARD NICHOLSON III DPT (NPI 1801750336) is an individual physical therapist in Williamsport, Pennsylvania, licensed in Pennsylvania (PT034019) and active in the NPI registry since December 2025. He is a graduate of Other (2025).
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.
Other Identifiers 2
Group Practice 1
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
Max Willard Nicholson Iii 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 Reassignment
Medicare enrollment records show Max Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middleburg, PA 17842
- Reassigned Medicare billing, Pennsylvania enrollment
- 357 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 17701 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 3
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 Max Nicholson's NPI number?
The NPI number for Max Nicholson is 1801750336. It was assigned to this individual provider in the NPPES registry on December 10, 2025.
Where is Max Nicholson located?
Max Nicholson practices at 2350 E 3rd St, Williamsport, PA 17701. The listed phone number is (570) 360-5915.
What is Max Nicholson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Max Nicholson enrolled in Medicare?
Yes. Max Nicholson 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 organization bills Medicare for Max Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Max Nicholson reassigns Medicare benefits to Family Practice Center, PC (Middleburg, PA). The 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 Max Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Max Nicholson was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.