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

Nicole M Vivlamore, DPT

Individual provider Physical Therapist · NPI 1457602567

Nicole M Vivlamore, DPT is a Physical Therapist in Private Practice in Bowie, Maryland. Qualified in 2012, 14 years ago. Practices with Ati Holdings, LLC, a 439-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
14
Licensed in
MD
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6842 Race Track Rd Ste B
Bowie, MD 20715-3011
Phone: (240) 544-0200
Fax: (301) 464-1053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 Medical Pkwy, Annapolis, MD 21401-3742 — (410) 295-8900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 24084 (MD)

Record details

NPI number1457602567
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 28, 2012
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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