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

Nicole Roth, PT

Individual provider Physical Therapist · NPI 1417585563

Nicole Roth, PT is a Physical Therapist in Pomona, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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

1798 N Garey Ave
Pomona, CA 91767-2918
Phone: (909) 865-9810
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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 PT25215 (CA)

Record details

NPI number1417585563
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020
Mailing address1798 N Garey Ave, Pomona, CA 91767-2918

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