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

Nicole Dacquisto, PT

Individual provider Sports Physical Therapist · NPI 1639299365

Nicole Dacquisto, PT is a Physical Therapist in Private Practice in Atherton, California. Qualified in 2003, 23 years ago. Practices with Barman and Sargent Inc, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2007
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

3351 El Camino Real Ste 180
Atherton, CA 94027-3811
Phone: (650) 365-8350
Fax: (650) 368-8353
Show map & directions

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

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence PT28642 (CA)

Record details

NPI number1639299365
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3351 El Camino Real, Suite 180, Atherton, CA 94027-3811

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Barman And Sargent Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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