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

Brooke Renee Nicholson, DPT, PT

Individual provider Physical Therapist · NPI 1639996838

Brooke Renee Nicholson, DPT, PT is a Physical Therapist in Private Practice in Lake Stevens, Washington. Qualified in 2024, 2 years ago. Practices with Everett Physical Therapy and Sport Performance Center PLLC, a 23-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1109 Frontier Cir E Ste B
Lake Stevens, WA 98258-3442
Phone: (425) 609-8075
Fax: (425) 947-5928
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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 PT61610267 (WA)

Record details

NPI number1639996838
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedSeptember 20, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Everett Physical Therapy And Sport Performance Center Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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