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

Nicole L Oberholtzer, PT, DPT

Individual provider Physical Therapist · NPI 1639625601

Nicole L Oberholtzer, PT, DPT is a Physical Therapist in Private Practice in Wyoming, Michigan. Qualified in 2016, 10 years ago. Practices with Presidio Sport and Medicine, Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5570 Wilson Ave SW Ste A
Wyoming, MI 49418-8867
Phone: (616) 855-1495
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501017877 (MI)

Record details

NPI number1639625601
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESNovember 14, 2022
Certification dateOctober 25, 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)
Group practice Presidio Sport And Medicine, Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wyoming