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

Nicole Small

Individual provider Physical Therapist · NPI 1396348546

Nicole Small is a Physical Therapist in Private Practice in Clayton, North Carolina. Qualified in 2020, 6 years ago. Practices with Response Physical Therapy, a 5-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

8838 US Highway 70 W Ste 300
Clayton, NC 27520-4822
Phone: (919) 550-7722
Fax: (919) 550-7742
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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 P19852 (NC)

Record details

NPI number1396348546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address16 Maybrook Rd Ste D, Campbell Hall, NY 10916-2741

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Response Physical Therapy — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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