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

Nicole Dominique Jalandoni Vasquez

Individual provider Physical Therapist · NPI 1033939244

Nicole Dominique Jalandoni Vasquez is a Physical Therapist in Private Practice in Lacey, Washington. Qualified in 2019, 7 years ago. Practices with Penrose and Associates Physical Therapy LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2024

Practice location Address checks out

1445 Galaxy Dr NE Ste 301
Lacey, WA 98516-4754
Phone: (360) 456-1444
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61432108 (WA)

Record details

NPI number1033939244
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 12, 2024
Last updated in NPPESOctober 12, 2024
Certification dateOctober 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Penrose And Associates Physical Therapy Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lacey