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

Nicole Marie Pandak, DPT

Individual provider Physical Therapist · NPI 1871143511

Nicole Marie Pandak, DPT is a Physical Therapist in Private Practice in Henrico, Virginia. Qualified in 2019, 7 years ago. Practices with Lawrence Rehabilitation Specialists Inc, a 10-clinician group. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2019
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

8191 Staples Mill Rd
Henrico, VA 23228-2751
Phone: (804) 523-2653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305213026 (VA)

Record details

NPI number1871143511
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 15, 2019
Last updated in NPPESSeptember 15, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lawrence Rehabilitation Specialists Inc — 10 clinicians
Accepts Medicare assignment Not indicated

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