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

Nicole Lynn Burgess, PT

Individual provider Physical Therapist · NPI 1194914648

Nicole Lynn Burgess, PT is a Physical Therapist in Private Practice in Saint Joseph, Michigan. Qualified in 2007, 19 years ago. Practices with Southwest Michigan Center for Orthopaedic and Sports Medicine P, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
19
Licensed in
IN, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

183 Peace Blvd
Saint Joseph, MI 49085-9146
Phone: (269) 408-1636
Fax: (269) 429-6451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 53880 Carmichael Dr, South Bend, IN 46635-1567 — (574) 247-9441
  • 451 Health Pkwy, Paw Paw, MI 49079-8242 — (269) 657-1490

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501013985 (MI)
Physical Therapist Taxonomy 225100000X · Licence 05009436A (IN)

Record details

NPI number1194914648
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 22, 2007
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Southwest Michigan Center For Orthopaedic And Sports Medicine P — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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