NICHOLE ANN ROIKO (PT) – Physical Therapist, NPI 1265622005
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
461 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AK
Provider Addresses for NICHOLE ANN ROIKO (PT)
650 N SHORELINE DR
WASILLA, AK 996546677
Phone: (907) 376-6363
Type: Mailing
3500 AMERICAN BLVD W STE 300
BLOOMINGTON, MN 554314442
Phone: (952) 512-5600
Type: Mailing
1210 US HIGHWAY 10 E
STE 4
STAPLES, MN 56479
Phone: (218) 600-5370
Fax: (218) 216-1932
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070926001189 | I | Physical Therapist In Private Practice | MN | TBD |
| I20161107000237 | I | Physical Therapist In Private Practice | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | 550 | 16 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 316 | 42 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 263 | 33 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 234 | 30 | $0 |
| 97530 | Therapy procedure using functional activities | 221 | 38 | $0 |
Insurance plans in this area (ZIP 99654)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | MN | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 384 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Orthopedic Surgery | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | TX |
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