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

Nicole Malcolm

Individual provider Physical Therapist · NPI 1639816192

Nicole Malcolm is a Physical Therapist in Private Practice in Montague, Michigan. Qualified in 2021, 5 years ago. Practices with Big Stone Therapies Montague LLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022

Practice location Address checks out

9219 Water St
Montague, MI 49437-9206
Phone: (231) 893-6655
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1639816192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address500 Cross St, Big Stone City, SD 57216-8237

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Big Stone Therapies Montague Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Montague