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

Nicole Thiel Donnelly, PT

Individual provider Physical Therapist · NPI 1316513187

Nicole Thiel Donnelly, PT is a Physical Therapist in Private Practice in Auburndale, Wisconsin. Qualified in 2021, 5 years ago. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

10524 George Ave
Auburndale, WI 54412-9677
Phone: (715) 652-3470
Fax: (715) 898-1815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15674-24 (WI)

Record details

NPI number1316513187
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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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