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

Nicole D Leach, DPT

Individual provider Physical Therapist · NPI 1255887998

Nicole D Leach, DPT is a Physical Therapist in Private Practice in Bend, Oregon. Qualified in 2016, 10 years ago. Licensed in Oregon and Pennsylvania.

Years since qualifying
10
Licensed in
OR, PA
In the registry since
2016
Specialties on file
2
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

915 NE 7th St Ste 1
Bend, OR 97701-4515
Phone: (541) 728-0974
Fax: (541) 728-0159
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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 63972 (OR)
Physical Therapist Taxonomy 225100000X · Licence PT025430 (PA)

Record details

NPI number1255887998
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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