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

Mrs. Nicole D Bristow, PT, DPT

Individual provider Physical Therapist · NPI 1669964243

Mrs. Nicole D Bristow, PT, DPT is a Physical Therapist in Private Practice in Jackson, Michigan. Qualified in 2010, 16 years ago. Practices with Plymouth Physical Therapy Specialists Limited Partnership, a 67-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2018
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

1201 E Michigan Ave Ste 300
Jackson, MI 49201-1853
Phone: (517) 205-7633
Fax: (517) 205-7634
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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 5501015343 (MI)

Record details

NPI number1669964243
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESMay 31, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Plymouth Physical Therapy Specialists Limited Partnership — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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