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

Individual provider Sports Physical Therapist · NPI 1952665721

Tamara Gerry Nicholson, DPT is a Sports Physical Therapist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4440 N 36th St Ste 240
Phoenix, AZ 85018-3592
Phone: (602) 956-4040
Fax: (602) 956-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 9819 (AZ)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 9819 (AZ)

Record details

NPI number1952665721
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESJune 27, 2012
Mailing address4440 N 36th St Ste 240, Phoenix, AZ 85018-3592

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