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

Nicole Schroeder, PT, DPT

Individual provider Physical Therapist · NPI 1629760780

Nicole Schroeder, PT, DPT is a Physical Therapist in Private Practice in Minneapolis, Minnesota. Qualified in 2023, 3 years ago. Practices with Odom Sports Medicine PA, a 69-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2112 Broadway St NE Ste 195
Minneapolis, MN 55413-3093
Phone: (612) 767-9917
Fax: (612) 767-9918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8770 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433-6100 — (763) 231-1824

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13127 (MN)

Record details

NPI number1629760780
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 25, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Odom Sports Medicine Pa — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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