NICOLE ROY (PT) – Physical Therapist, NPI 1154768133

NICOLE ROY (PT) is a healthcare provider. based in Los altos, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 39563 (CA). The NPI Number for NICOLE ROY (PT) is 1154768133

Main info

Female
14 Years Of Experience
Name
NICOLE ROY (PT)
NPI
1154768133
Phone
(650) 559-0011
Address
5050 EL CAMINO REAL
Enumeration Date
30 May 2013
Last Update Date
30 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6509340455
Graduation Year
2012 (14 years ago)
PAC ID
2668613175
Group Practice PAC ID
9739343492
Professional Enrollment ID
I20130725000809
Address ID
CA940403763MO1716XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,448 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for NICOLE ROY (PT)

  • 5050 EL CAMINO REAL

    210

    LOS ALTOS, CA 940221530

    Phone: (650) 559-0011

    Fax: (650) 559-0012

    Mailing address matches the actual address.

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: 2013-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130725000809IPhysical Therapist In Private PracticeCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes37721$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33821$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes26719$0
97164Re-evaluation for physical therapy, typically 20 minutes3517$0
97161Evaluation for physical therapy, typically 20 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 94022)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739343492View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What number should I use to identify NICOLE ROY (PT) for billing?
Administrative and clinical systems typically use NPI 1154768133 for NICOLE ROY (PT).
Is NICOLE ROY (PT)'s NPI status active today?
Active status means NICOLE ROY (PT)'s NPI record is not deactivated in the public file.
Which specialty label fits NICOLE ROY (PT)?
NPPES ties NICOLE ROY (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICOLE ROY (PT)?
NICOLE ROY (PT) is associated with Los Altos, California in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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