NICOLE JEAN EDDY (DPT) – Physical Therapist, NPI 1578010690

NICOLE JEAN EDDY (DPT) is a healthcare provider. based in Detroit, Michigan. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 5501017718 (MI). The NPI Number for NICOLE JEAN EDDY (DPT) is 1578010690

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE JEAN EDDY (DPT)
NPI
1578010690
Phone
Not provided
Address
PO BOX 674779
Enumeration Date
7 September 2016
Last Update Date
21 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2314866330
Graduation Year
2016 (10 years ago)
PAC ID
0042507576
Group Practice PAC ID
4880829738
Professional Enrollment ID
I20160927000355
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for NICOLE JEAN EDDY (DPT)

  • 1910, Michigan Box Company, Detroit, Wayne County, Michigan, 48211, United States

    DETROIT, MI 482674779

    Phone:

    Type: Mailing

  • 515, East Division Street, Rockford, Kent County, Michigan, 49341, United States

    ROCKFORD, MI 493411377

    Phone: (616) 866-6859

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48267)

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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: 4880829738View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is the standard ID for NICOLE JEAN EDDY (DPT) in the U.S.?
In the U.S., NICOLE JEAN EDDY (DPT) is identified by NPI 1578010690.
Should I treat NICOLE JEAN EDDY (DPT) as an active provider?
Patients and plans typically see NICOLE JEAN EDDY (DPT) as active in the national extract.
Which specialty label fits NICOLE JEAN EDDY (DPT)?
NPPES ties NICOLE JEAN EDDY (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLE JEAN EDDY (DPT)?
NICOLE JEAN EDDY (DPT) shows a connection to Detroit, Michigan in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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