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

Nicole Marie McDaniel, PT

Individual provider Specialist · NPI 1104826601

Nicole Marie McDaniel, PT is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2001, 25 years ago. Practices with Oregon Luna Care Physical Therapy LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
25
Licensed in
OR
In the registry since
2005
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

530 NW 23rd Ave Ste #116
Portland, OR 97210-3275
Phone: (971) 258-0995
Fax: (844) 364-4344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 5138 (OR)

Record details

NPI number1104826601
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESFebruary 20, 2017
Mailing address530 Nw 23rd Ave, Suite #116, Portland, OR 97210-3287

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Oregon Luna Care Physical Therapy Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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