NICOLE WILLIAMS (DPT) – Physical Therapist, NPI 1013377308

NICOLE WILLIAMS (DPT) is a healthcare provider. based in Oakdale, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 10211 (MN). The NPI Number for NICOLE WILLIAMS (DPT) is 1013377308

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE WILLIAMS (DPT)
NPI
1013377308
Phone
(952) 835-4512
Address
7825 3RD ST N STE 105
Enumeration Date
29 February 2016
Last Update Date
19 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8776090123
Graduation Year
2015 (11 years ago)
PAC ID
3678865102
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20160701001120
Address ID
MN554164709ST3912XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for NICOLE WILLIAMS (DPT)

  • 7825 3RD ST N STE 105

    OAKDALE, MN 551285444

    Phone: (952) 835-4512

    Fax: (888) 425-0398

    Type: Mailing

  • Excelsior Blvd, Monterey Drive, Wolfe Park, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554164709

    Phone: (952) 835-4512

    Type: Location

  • 3912 EXCELSIOR BLVD

    ST LOUIS PARK, MN 554164709

    Phone: (952) 835-4512

    Fax: (888) 425-0398

    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: 2016-07-01

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
I20160701001120IPhysical Therapist In Private PracticeMNTBD

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 minutes16213$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes14315$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14014$0
View full utilization report →

Insurance plans in this area (ZIP 55128)

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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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Is NICOLE WILLIAMS (DPT) listed with a National Provider Identifier?
Yes — NICOLE WILLIAMS (DPT) has NPI 1013377308 on file in the registry.
Is NICOLE WILLIAMS (DPT) shown as active in public data?
Registry records indicate NICOLE WILLIAMS (DPT) maintains an active NPI.
What clinical focus is listed for NICOLE WILLIAMS (DPT)?
At a glance, NICOLE WILLIAMS (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is NICOLE WILLIAMS (DPT) located near Oakdale?
NICOLE WILLIAMS (DPT) currently maps to Oakdale, Minnesota in this extract.
When was this NPI issued?
Enumeration for NICOLE WILLIAMS (DPT) is noted as February 29, 2016 where the registry provides it.

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