Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Nickens, PTA

Individual provider Physical Therapy Assistant · NPI 1922427491

Andrea Nickens, PTA is a Physical Therapy Assistant in Port St Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2249 SE Genoa St
Port St Lucie, FL 34952-7336
Phone: (954) 818-1307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA1640 (FL)

Record details

NPI number1922427491
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 14, 2014
Last updated in NPPESApril 14, 2014

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