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

Mrs. Nicole Stacy Blacher, PT

Individual provider Physical Therapist · NPI 1265602601

Mrs. Nicole Stacy Blacher, PT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 1990, 36 years ago. Licensed in California.

Years since qualifying
36
Licensed in
CA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11777 Sorrento Valley Rd
San Diego, CA 92121-1084
Phone: (858) 967-7701
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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 PT 18069 (CA)

Record details

NPI number1265602601
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 29, 2008
Last updated in NPPESFebruary 5, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Not indicated

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