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

Individual provider Physical Therapist · NPI 1053788661

Nichole M Dilello, PT is a Physical Therapist in Private Practice in Red Bank, New Jersey. Qualified in 2015, 11 years ago. Practices with Proform Physical Therapy LLC, a 19-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2015
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

7 Globe Ct
Red Bank, NJ 07701-1824
Phone: (732) 345-1377
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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 40QA01626100 (NJ)

Record details

NPI number1053788661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 31, 2015
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Proform Physical Therapy Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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