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

Nicklaus Ingman, PT, DPT

Individual provider Physical Therapist · NPI 1427605948

Nicklaus Ingman, PT, DPT is a Physical Therapist in Private Practice in Placerville, California. Qualified in 2019, 7 years ago. Practices with Shingle Springs Rancheria, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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

5168 Honpie Rd
Placerville, CA 95667-8682
Phone: (530) 387-4928
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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 297087 (CA)

Record details

NPI number1427605948
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Shingle Springs Rancheria — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Placerville