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

Nicole Nicodemo, PT

Individual provider Physical Therapist · NPI 1891033478

Nicole Nicodemo, PT is a Physical Therapist in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
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

9806 Pines Blvd
Pembroke Pines, FL 33024-6141
Phone: (954) 367-5266
Fax: (954) 367-5246
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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 PT 25877 (FL)

Record details

NPI number1891033478
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 16, 2013
Last updated in NPPESJune 23, 2015

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