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

Nicole Roenius, DPT

Individual provider Physical Therapist · NPI 1760902647

Nicole Roenius, DPT is a Physical Therapist in Private Practice in Greendale, Wisconsin. Qualified in 2017, 9 years ago. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5404 W Loomis Rd
Greendale, WI 53129-1411
Phone: (414) 421-0088
Fax: (414) 421-2163
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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 13802 (WI)

Record details

NPI number1760902647
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 22, 2017
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address5404 W Loomis Rd, Greendale, WI 53129-1411

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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