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

Nicole Ashley Trude

Individual provider Physical Therapy Assistant · NPI 1790619542

Nicole Ashley Trude is a Physical Therapy Assistant in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

1500 NY-112 Bldg 9
Port Jefferson Station, NY 11776
Phone: (631) 849-6688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (NY)

Record details

NPI number1790619542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateMay 27, 2026

Other providers in Port Jefferson Station