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

Dr. Nicole Elizabeth Mustafa

Individual provider Physical Therapist · NPI 1588339931

Dr. Nicole Elizabeth Mustafa is a Physical Therapist in Private Practice in Wayne, New Jersey. Qualified in 2021, 5 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

450 Hamburg Tpke
Wayne, NJ 07470-8480
Phone: (973) 706-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1588339931
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021

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 Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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