Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicole Lynn Stout, DPT, CLT-LANA

Individual provider Physical Therapist · NPI 1164424842

Dr. Nicole Lynn Stout, DPT, CLT-LANA is a Physical Therapist in Private Practice in Morgantown, West Virginia. Qualified in 1998, 28 years ago. Licensed in Pennsylvania and West Virginia.

Years since qualifying
28
Licensed in
PA, WV
In the registry since
2005
Specialties on file
2
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

943 Maple Dr
Morgantown, WV 26505-2812
Phone: (304) 599-2515
Fax: (304) 285-3738
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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 PT004223 (WV)
Physical Therapist Taxonomy 225100000X · Licence PT012155L (PA)

Record details

NPI number1164424842
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , CLT-LANA
Sole proprietorNo
NPI enumeratedAugust 12, 2005
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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