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

Nicole Seal

Individual provider Physical Therapist · NPI 1073398749

Nicole Seal is a Physical Therapist in Private Practice in Prineville, Oregon. Qualified in 2023, 3 years ago. Practices with New Proactive LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2023
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Practice location Address checks out

1470 NE 3rd St
Prineville, OR 97754-2906
Phone: (541) 447-6846
Fax: (541) 447-1243
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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 65084 (OR)

Record details

NPI number1073398749
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2023
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

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 New Proactive Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Prineville