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

Nicole Thiede, DPT

Individual provider Physical Therapist · NPI 1790651339

Nicole Thiede, DPT is a Physical Therapist in Private Practice in Kokomo, Indiana. Qualified in 2021, 5 years ago. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2108 E Blvd
Kokomo, IN 46902-2401
Phone: (765) 416-8480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IN)

Record details

NPI number1790651339
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 12, 2025
Mailing address2211 Willowview Dr, Indianapolis, IN 46239-7733

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)
Accepts Medicare assignment Not indicated

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