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

Nicole Smith

Individual provider Physical Therapist · NPI 1083282974

Nicole Smith is a Physical Therapist in Private Practice in Tampa, Florida. Qualified in 2021, 5 years ago. Practices with Optimal Performance and Physical Therapies Northdale LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

3903 Northdale Blvd Ste 111W
Tampa, FL 33624-1853
Phone: (813) 418-7350
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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 PTT37296 (FL)

Record details

NPI number1083282974
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2021
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021
Mailing address21756 State Road 54 Ste 102, Lutz, FL 33549-2905

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Optimal Performance And Physical Therapies Northdale Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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