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

Nicole Elizabeth Kaltwasser

Individual provider Physical Therapist · NPI 1265932677

Nicole Elizabeth Kaltwasser is a Physical Therapist in Private Practice in Peoria, Illinois. Qualified in 2017, 9 years ago. Practices with Professional Therapy Services Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
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Practice location Address checks out

2338 W Van Winkle Way Ste 3100
Peoria, IL 61615-7483
Phone: (309) 693-9189
Fax: (309) 693-9946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1265932677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2018
Last updated in NPPESFebruary 13, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Professional Therapy Services Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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