NIKOLE MICHELLE NELSON (PT, DPT) – Physical Therapist, NPI 1316416928

NIKOLE MICHELLE NELSON (PT, DPT) is a healthcare provider. based in Oak brook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. LPT-30349 (AZ). The NPI Number for NIKOLE MICHELLE NELSON (PT, DPT) is 1316416928

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
NIKOLE MICHELLE NELSON (PT, DPT)
NPI
1316416928
Phone
(630) 575-1980
Address
2122 YORK RD STE 300
Enumeration Date
13 November 2018
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5056623384
Graduation Year
2018 (8 years ago)
PAC ID
2163769498
Group Practice PAC ID
0547696247
Professional Enrollment ID
I20260206000232
Address ID
NM875446217LO1350XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,785 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

Provider Addresses for NIKOLE MICHELLE NELSON (PT, DPT)

  • 2122 YORK RD STE 300

    OAK BROOK, IL 605231925

    Phone: (630) 575-1980

    Type: Mailing

  • 8270 S HOUGHTON RD STE 180

    TUCSON, AZ 857479717

    Phone: (520) 664-1430

    Type: Location

  • 3750 E VIA PALOMITA APT 2202

    TUCSON, AZ 857183356

    Phone: (813) 205-8825

    Type: Mailing

  • 3124, North Swan Road, Tucson, Pima County, Arizona, 85712, United States

    TUCSON, AZ 857121227

    Phone: (520) 325-4002

    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: 2026-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190124002867IPhysical Therapist In Private PracticeAZTBD
I20240318001512IPhysical Therapist In Private PracticeAKTBD
I20260206000232IPhysical Therapist In Private PracticeNMTBD

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
97530Therapy procedure using functional activities39251$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes35856$0
97140Therapy procedure using manual technique, each 15 minutes29136$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes17130$0
97535Training for self-care or home management, each 15 minutes9833$0
View full utilization report →

Insurance plans in this area (ZIP 60523)

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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: 0547696247View full group profile
NameSpecialtyState
-NM
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Can I use this page to confirm NIKOLE MICHELLE NELSON (PT, DPT)'s NPI?
Yes. NIKOLE MICHELLE NELSON (PT, DPT) is listed with NPI 1316416928 in the public NPI dataset.
Is NIKOLE MICHELLE NELSON (PT, DPT) still practicing?
NIKOLE MICHELLE NELSON (PT, DPT) is currently listed as active in the public NPI registry.
What is NIKOLE MICHELLE NELSON (PT, DPT) best known for clinically?
Directory data describes NIKOLE MICHELLE NELSON (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does NIKOLE MICHELLE NELSON (PT, DPT) list a practice location?
Patients near Oak Brook, Illinois may find NIKOLE MICHELLE NELSON (PT, DPT) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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