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

Susan Nicklin, PT

Individual provider Pediatric Physical Therapist · NPI 1790814200

Susan Nicklin, PT is a Pediatric Physical Therapist in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
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

945 S Riverside Ave
Medford, OR 97501-7841
Phone: (541) 789-5252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 3217 (OR)

Record details

NPI number1790814200
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 2, 2007
Last updated in NPPESJuly 8, 2007
Mailing address100 E Main St, Suite C, Medford, OR 97501-6041

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