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EDWARD C NICKERSON RPT
NPI 1992820518
Specialist in Sacramento, CA

Active since March 20, 2007Accepts Medicare Assignment
2801 K ST, STE 310, SACRAMENTO, CA 95816(916) 353-2270(916) 353-2279 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward C Nickerson Rpt NPPES

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

EDWARD C NICKERSON RPT (NPI 1992820518) is an individual specialist in Sacramento, California, licensed in California (PT12609) and active in the NPI registry since March 2007. He is a graduate of Other (1984).

NPPES Registry Identity

NPI1992820518
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameEDWARD C NICKERSONCredential: RPT
Location Address2801 K ST, STE 310Sacramento, CA 95816-5120
Mailing Address11251 Coloma Rd, Ste JGold River, CA 95670-4431 · (916) 353-2270 · Fax (916) 353-2279
Phone(916) 353-2270
Fax(916) 353-2279
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1992820518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · PT12609
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2801 K ST, Sacramento, CA 95816
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Other Identifiers 6

Other12300100CA · Usdl
Medicare ID-Type UnspecifiedP00226883CA · Medicare Railroad
OtherPT90581CA · Blue Shield
OtherPT12609CA · Blue Cross
Medicare UPIN0PT126091CA
Medicare ID-Type UnspecifiedZZZ01587ZCA · Medicare Group

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

Edward C Nickerson Rpt 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 ID9436198603
PECOS Enrollment IDI20050427000628

Areas of Expertise CMS Part B claims 4

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
111 services32 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
61 services11 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
30 services19 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
14 services13 patients

Other Providers at the Same Location NPPES 20

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

DR. LINDA SAU MAR D.O.
Radiology (Diagnostic Radiology)
2801 K ST, SUITE 502
SACRAMENTO, CA 95816
Sacramento County (916) 733-4400
TORREY-NICKERSON PHYSICAL THERAPY
Specialist
2801 K ST, STE 310
SACRAMENTO, CA 95816
Sacramento County (916) 353-2270
MS. MAUDE LITTLEFIELD BLUNDELL MS
Genetic Counselor, MS
2801 K ST, SUITE 110
SACRAMENTO, CA 95816
Sacramento County (916) 213-6036
CHARLES MCDONNELL MD
Radiology (Body Imaging)
2801 K ST, SUITE 502
SACRAMENTO, CA 95816
Sacramento County (877) 515-0053
LEON SIMMS PA-C
Physician Assistant (Surgical)
2801 K ST, SUITE 310
SACRAMENTO, CA 95816
Sacramento County (916) 454-6677
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Radiology (Diagnostic Radiology)
2801 K ST, STE 110
SACRAMENTO, CA 95816
Sacramento County (916) 733-5051
DR. DON CHARLES LOOMER M.D.
Radiology (Diagnostic Radiology)
2801 K ST, SUITE 502
SACRAMENTO, CA 95816
Sacramento County (877) 515-0053
DR. DAVID JAY SEIDENWURM M.D.
Radiology (Neuroradiology)
2801 K ST, SUITE 115
SACRAMENTO, CA 95816
Sacramento County (916) 453-9999

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 Edward Nickerson's NPI number?

The NPI number for Edward Nickerson is 1992820518. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Edward Nickerson located?

Edward Nickerson practices at 2801 K St Ste 310, Sacramento, CA 95816. The listed phone number is (916) 353-2270.

What is Edward Nickerson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Edward Nickerson enrolled in Medicare?

Yes. Edward Nickerson 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.

When was this NPI record last updated?

The NPPES record for Edward Nickerson was last updated on July 9, 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.