NICOLE Y PEGARIDO (DPT) – Physical Therapist, NPI 1639647274

NICOLE Y PEGARIDO (DPT) is a healthcare provider. based in Winter haven, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT34170 (FL). The NPI Number for NICOLE Y PEGARIDO (DPT) is 1639647274

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE Y PEGARIDO (DPT)
NPI
1639647274
Phone
(863) 293-1191
Address
500 E CENTRAL AVE
Enumeration Date
12 November 2018
Last Update Date
5 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7049654114
Graduation Year
2018 (8 years ago)
PAC ID
3678810041
Group Practice PAC ID
3274819644
Professional Enrollment ID
I20190123001235
Address ID
FL328275811OR6775XTERX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for NICOLE Y PEGARIDO (DPT)

  • 500, East Central Avenue, Winter Haven, Polk County, Florida, 33880, United States

    WINTER HAVEN, FL 338803094

    Phone: (863) 293-1191

    Type: Mailing

  • Woodmont Avenue, Winter Haven, Polk County, Florida, 33884, United States

    WINTER HAVEN, FL 338843800

    Phone: (863) 293-1191

    Type: Location

  • PO BOX 370

    FORTSON, GA 318080370

    Phone:

    Type: Mailing

  • 6775 CHOPRA TER STE 300

    ORLANDO, FL 328275811

    Phone: (407) 965-4114

    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: 2019-01-23

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
I20190123001235IPhysical Therapist In Private PracticeFLTBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6711$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes5112$0
View full utilization report →

Insurance plans in this area (ZIP 33880)

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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: 3274819644View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryGA
-FL
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What is NICOLE Y PEGARIDO (DPT)'s NPI number?
NICOLE Y PEGARIDO (DPT)'s NPI is 1639647274 — the number used across U.S. healthcare to identify this provider.
Would NICOLE Y PEGARIDO (DPT) appear as active to a payer?
You can treat NICOLE Y PEGARIDO (DPT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for NICOLE Y PEGARIDO (DPT)?
At a glance, NICOLE Y PEGARIDO (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE Y PEGARIDO (DPT)?
Directory geography for NICOLE Y PEGARIDO (DPT) centers on Winter Haven, Florida.
Can I trust this NPI listing for NICOLE Y PEGARIDO (DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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