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

Nicole Christine Sandruck

Individual provider Physical Therapist · NPI 1083309504

Nicole Christine Sandruck is a Physical Therapist in Private Practice in Nottingham, Maryland. Qualified in 2023, 3 years ago. Practices with Peake Physical Therapy Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2023

Practice location Address checks out

7629 Belair Rd
Nottingham, MD 21236-4003
Phone: (410) 870-2104
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 29443 (MD)

Record details

NPI number1083309504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

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 Peake Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Nottingham