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

Nicole L. Pederson, DPT

Individual provider Athletic Trainer · NPI 1659498475

Nicole L. Pederson, DPT is a Physical Therapist in Private Practice in Rice Lake, Wisconsin. Qualified in 2010, 16 years ago. Practices with Optimum Therapies of Rice Lake, a 6-clinician group and accepts Medicare assignment. Licensed in Utah and Wisconsin.

Years since qualifying
16
Licensed in
UT, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2600 S Wisconsin Ave Ste A
Rice Lake, WI 54868-7527
Phone: (715) 236-3610
Fax: (715) 236-3615
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12439 (WI)
Athletic Trainer Taxonomy 2255A2300X · Licence 6343254-4810 (UT)

Record details

NPI number1659498475
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 25, 2007
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Optimum Therapies Of Rice Lake — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rice Lake