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

Renee Nickerson, PT, DPT

Individual provider Physical Therapist · NPI 1063949188

Renee Nickerson, PT, DPT is a Physical Therapist in Private Practice in Candia, New Hampshire. Qualified in 2017, 9 years ago. Practices with Coppola Physical Therapy and Fitness Gym LLC, a 21-clinician group.

Years since qualifying
9
In the registry since
2017
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.

See every abbreviation used in this directory →

Practice location Address checks out

143 Raymond Rd
Candia, NH 03034-2133
Phone: (603) 483-3355
Fax: (603) 483-3357
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1063949188
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 19, 2017
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address143 Raymond Rd, Candia, NH 03034-2133

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Coppola Physical Therapy And Fitness Gym Llc — 21 clinicians
Accepts Medicare assignment Not indicated

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