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

Nicole Roberts

Individual provider Physical Therapist · NPI 1790469641

Nicole Roberts is a Physical Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023

Practice location Address checks out

3320 N Clinton St
Fort Wayne, IN 46805-1918
Phone: (260) 483-2100
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05015091A (IN)

Record details

NPI number1790469641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address7924 Wildberry Ln, Fort Wayne, IN 46815-8083

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