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

Nicole Cathleen Fernandez, DPT

Individual provider Physical Therapist · NPI 1679086144

Nicole Cathleen Fernandez, DPT is a Physical Therapist in Private Practice in Tumwater, Washington. Qualified in 2017, 9 years ago. Practices with Pro-Active Sportsmed PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

111 Tumwater Blvd SE Ste 113
Tumwater, WA 98501-6422
Phone: (360) 528-3300
Fax: (360) 528-8162
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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 60785817 (WA)

Record details

NPI number1679086144
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 7, 2017
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pro-Active Sportsmed Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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