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

Connor Nickel, DPT

Individual provider Physical Therapist · NPI 1548837743

Connor Nickel, DPT is a Physical Therapist in Private Practice in Avondale, Arizona. Qualified in 2021, 5 years ago. Practices with Desert Edge Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10721 W Indian School Rd
Avondale, AZ 85392-5636
Phone: (623) 772-7748
Fax: (623) 772-7749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (AZ)

Record details

NPI number1548837743
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022
Mailing address14287 N 87th St Ste 220, Scottsdale, AZ 85260-3698

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Desert Edge Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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