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

Nicole Brock

Individual provider Physical Therapist · NPI 1376974774

Nicole Brock is a Physical Therapist in Massapequa Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

100 Saint Regis Dr
Massapequa Park, NY 11762-3451
Phone: (516) 795-3789
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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 037114-1 (NY)

Record details

NPI number1376974774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 10, 2013
Last updated in NPPESDecember 10, 2013
Mailing address5500 Merrick Rd, Massapequa, NY 11758-6231

Other providers in Massapequa Park