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

Gerardo Nicolas, DPT

Individual provider Physical Therapist · NPI 1194521575

Gerardo Nicolas, DPT is a Physical Therapist in Private Practice in Menifee, California. Qualified in 2024, 2 years ago. Practices with Fairbanks and Power Physical Therapy Corp, a 54-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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

27701 Scott Rd Ste D108
Menifee, CA 92584-9417
Phone: (530) 965-2772
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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 307658 (CA)

Record details

NPI number1194521575
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address39530 Medina Ct, Murrieta, CA 92562-4514

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 Fairbanks And Power Physical Therapy Corp — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Menifee