Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nicklaus Ellif Biederwolf, PT, DPT, CSCS

Individual provider Orthopedic Physical Therapist · NPI 1497820476

Mr. Nicklaus Ellif Biederwolf, PT, DPT, CSCS is an Orthopedic Physical Therapist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

11209 N Tatum Blvd B-120
Phoenix, AZ 85028-3091
Phone: (602) 795-8441
Fax: (602) 795-8447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 6704 (AZ)

Record details

NPI number1497820476
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESNovember 4, 2015

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