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

Nicole Agosto

Individual provider Physical Therapist · NPI 1275964520

Nicole Agosto is a Physical Therapist in Private Practice in Santa Rosa, California. Qualified in 2012, 14 years ago. Practices with Santa Rosa Back Fitness and Physical Therapy Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2013
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Practice location Address checks out

2798 Yulupa Ave Ste 1
Santa Rosa, CA 95405-8570
Phone: (707) 527-4001
Fax: (707) 527-7167
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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 PT39944 (CA)

Record details

NPI number1275964520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2013
Last updated in NPPESApril 25, 2019
Mailing address2798 Yulupa Ave, Suite 1, Santa Rosa, CA 95405-8570

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Santa Rosa Back Fitness And Physical Therapy Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Rosa