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

Mrs. Nicole Penwell Mincher, LPTA

Individual provider Physical Therapy Assistant · NPI 1114228079

Mrs. Nicole Penwell Mincher, LPTA is a Physical Therapy Assistant in Gloucester, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2010

Practice location Address checks out

6707 Lake View Dr
Gloucester, VA 23061-2839
Phone: (804) 824-8471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306602972 (VA)

Record details

NPI number1114228079
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorYes
NPI enumeratedNovember 9, 2010
Last updated in NPPESNovember 9, 2010

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