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

Nicole R Wade, PTA

Individual provider Physical Therapy Assistant · NPI 1629800172

Nicole R Wade, PTA is a Physical Therapy Assistant in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2024.

Licensed in
OK
In the registry since
2024
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

1505 Renaissance Blvd
Edmond, OK 73013-3018
Phone: (405) 850-8497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3740 (OK)

Record details

NPI number1629800172
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

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