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

Nicole Dicken

Individual provider Physical Therapy Assistant · NPI 1073186425

Nicole Dicken is a Physical Therapy Assistant in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2021.

Licensed in
NM
In the registry since
2021

Practice location Address checks out

5123 Juan Tabo Blvd NE
Albuquerque, NM 87111-2672
Phone: (505) 292-3333
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA1329 (NM)

Record details

NPI number1073186425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2021
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021
Mailing address5808 Canyon Vista Dr Ne, Albuquerque, NM 87111-6616

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