Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Christine Stavinoha-Pettit, PT

Individual provider Physical Therapist · NPI 1215162672

Nicole Christine Stavinoha-Pettit, PT is a Physical Therapist in Private Practice in Austin, Texas. Qualified in 2009, 17 years ago. Practices with Agilitas USA, Inc, a 810-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

500 Canyon Ridge Dr Ste B-150
Austin, TX 78753-1632
Phone: (512) 596-0566
Fax: (512) 596-0567
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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 1189310 (TX)

Record details

NPI number1215162672
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 28, 2009
Last updated in NPPESOctober 3, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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