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

Nicole Marie Redwine, PTA

Individual provider Physical Therapy Assistant · NPI 1790428928

Nicole Marie Redwine, PTA is a Physical Therapy Assistant in Rio Rancho, New Mexico. Licensed in New Mexico. Registered with an NPI since 2022.

Licensed in
NM
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4617 Bismark Hills Way NE
Rio Rancho, NM 87144-8608
Phone: (505) 315-9649
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA1936 (NM)

Record details

NPI number1790428928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

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