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

Brenda A. Nicholson, MSPT

Individual provider Physical Therapist · NPI 1902909179

Brenda A. Nicholson, MSPT is a Physical Therapist in Private Practice in Kokomo, Indiana. Qualified in 1996, 30 years ago. Practices with Elite Therapy Corp, a 13-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
30
Licensed in
IN
In the registry since
2006
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Practice location Address checks out

2312 S Dixon Rd Ste 250
Kokomo, IN 46902-6401
Phone: (765) 455-2122
Fax: (765) 455-3122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05005364A (IN)

Record details

NPI number1902909179
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Elite Therapy Corp — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kokomo