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

Nicolette Owens, PT, DPT, CERTDN

Individual provider Physical Therapist · NPI 1679932891

Nicolette Owens, PT, DPT, CERTDN is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices with Endurance Rehabilitation LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

11209 N Tatum Blvd Ste B120
Phoenix, AZ 85028-3091
Phone: (602) 795-8441
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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 12057 (AZ)

Record details

NPI number1679932891
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , CERTDN
Sole proprietorYes
NPI enumeratedFebruary 16, 2016
Last updated in NPPESJuly 27, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Endurance Rehabilitation Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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