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

Nicole Sulham

Individual provider Orthopedic Physical Therapist · NPI 1619250610

Nicole Sulham is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2011, 15 years ago. Practices with Select San Diego Physical Therapy PC, a 58-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2011
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Practice location Address checks out

3218 Governor Dr
San Diego, CA 92122-2902
Phone: (858) 453-3000
Fax: (858) 453-3066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 38223 (CA)

Record details

NPI number1619250610
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2011
Last updated in NPPESFebruary 12, 2022
Certification dateFebruary 12, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Select San Diego Physical Therapy Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Diego