MRS. NICHOLE MARIE EICKHOLT (MSPT) – Physical Therapist, NPI 1275773111

MRS. NICHOLE MARIE EICKHOLT (MSPT) is a healthcare provider. based in Grand blanc, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT. They hold a License No. 5501012916 (MI). The NPI Number for MRS. NICHOLE MARIE EICKHOLT (MSPT) is 1275773111

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICHOLE MARIE EICKHOLT (MSPT)
NPI
1275773111
Phone
(810) 603-1100
Address
1537 E HILL RD
Enumeration Date
5 March 2009
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162811144
Graduation Year
2006 (20 years ago)
PAC ID
6709933948
Group Practice PAC ID
8325033285
Professional Enrollment ID
I20090406000207
Address ID
MI495083712GR2120XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MRS. NICHOLE MARIE EICKHOLT (MSPT)

  • 1537 E HILL RD

    STE 400

    GRAND BLANC, MI 484395186

    Phone: (810) 603-1100

    Fax: (810) 603-1101

    Type: Location

  • 4466, West Bristol Road, Flint, Flint Township, Genesee County, Michigan, 48507, United States

    FLINT, MI 485073170

    Phone: (810) 733-1200

    Fax: (810) 733-3130

    Type: Mailing

  • 17272 ROBBINS RD

    SUITE 102

    GRAND HAVEN, MI 49417

    Phone: (810) 733-1200

    Fax: (810) 733-3130

    Type: Mailing

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: 2009-04-06

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
I20090406000207IPhysical Therapist In Private PracticeMITBD

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 activities21018$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12417$0
97140Therapy procedure using manual technique, each 15 minutes12019$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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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: 8325033285View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Does MRS. NICHOLE MARIE EICKHOLT (MSPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. NICHOLE MARIE EICKHOLT (MSPT) uses 1275773111.
Is MRS. NICHOLE MARIE EICKHOLT (MSPT) listed as active for patients and plans?
The listing shows MRS. NICHOLE MARIE EICKHOLT (MSPT) as active in the NPI system.
What is MRS. NICHOLE MARIE EICKHOLT (MSPT)'s specialty?
The listing groups MRS. NICHOLE MARIE EICKHOLT (MSPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. NICHOLE MARIE EICKHOLT (MSPT)?
MRS. NICHOLE MARIE EICKHOLT (MSPT)'s geographic hint is Grand Blanc, Michigan in our summary view.
Is the information about MRS. NICHOLE MARIE EICKHOLT (MSPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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