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

Nicole Mickendrow

Individual provider Physical Therapist · NPI 1811680317

Nicole Mickendrow is a Physical Therapist in Private Practice in Middletown, New Jersey. Qualified in 2023, 3 years ago. Practices with Procare Rehabilitation, LLC, a 68-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
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Practice location Address checks out

798 State Route 35
Middletown, NJ 07748-3410
Phone: (732) 533-5741
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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 40QA02174900 (NJ)

Record details

NPI number1811680317
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2023
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address4 Walter E Foran Blvd Ste 203, Flemington, NJ 08822-4666

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Procare Rehabilitation, Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown