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

Nicholas Trevino

Individual provider Physical Therapist · NPI 1497441034

Nicholas Trevino is a Physical Therapist in Private Practice in Gulf Breeze, Florida. Qualified in 2013, 13 years ago. Practices with Pivotal Physical Therapy LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

1106 Crane Cove Blvd
Gulf Breeze, FL 32563-3190
Phone: (850) 207-5874
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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 PT28295 (FL)

Record details

NPI number1497441034
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 16, 2023
Mailing address1106 Crane Cove Blvd, Gulf Breeze, FL 32563-3190

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Pivotal Physical Therapy Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gulf Breeze