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

Nicolette Rose Dallas

Individual provider Physical Therapist · NPI 1154161537

Nicolette Rose Dallas is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices with Midwest Rehabilitation Group Inc, a 52-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

2949 W Irving Park Rd
Chicago, IL 60618-3536
Phone: (773) 250-7777
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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 070.028297 (IL)

Record details

NPI number1154161537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2024
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Midwest Rehabilitation Group Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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