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

Nicole Roche, MPT

Individual provider Pediatric Physical Therapist · NPI 1770685406

Nicole Roche, MPT is a Pediatric Physical Therapist in Centreville, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

14527 Picket Oaks Rd
Centreville, VA 20121-2358
Phone: (703) 222-2421
Fax: (703) 222-2421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 2305006282 (VA)

Record details

NPI number1770685406
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorYes
NPI enumeratedSeptember 2, 2006
Last updated in NPPESJuly 8, 2007
Mailing address12908 Turkey Branch Pkwy, Rockville, MD 20853-3341

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