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

Nicole Anders-Prosen

Individual provider Physical Therapist · NPI 1053003202

Nicole Anders-Prosen is a Physical Therapist in Private Practice in Greeley, Colorado. Qualified in 2023, 3 years ago. Practices with Berkana Rehabilitation PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
3
Licensed in
CO
In the registry since
2023
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Practice location Address checks out

4617 W 20th St Unit A
Greeley, CO 80634-3207
Phone: (970) 352-9022
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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 PTL.0019125 (CO)

Record details

NPI number1053003202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2023
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing addressPo Box 312, Sequim, WA 98382-4305

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Berkana Rehabilitation Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greeley