NICOLE CATHLEEN FERNANDEZ (DPT) – Physical Therapist, NPI 1679086144

NICOLE CATHLEEN FERNANDEZ (DPT) is a healthcare provider. based in Tumwater, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 60785817 (WA). The NPI Number for NICOLE CATHLEEN FERNANDEZ (DPT) is 1679086144

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE CATHLEEN FERNANDEZ (DPT)
NPI
1679086144
Phone
(360) 528-3300
Address
111 TUMWATER BLVD SE STE 113
Enumeration Date
7 November 2017
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604554448
Graduation Year
2017 (9 years ago)
PAC ID
0345508206
Group Practice PAC ID
2062303969
Professional Enrollment ID
I20171222000547
Address ID
WA985031065LA4219XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for NICOLE CATHLEEN FERNANDEZ (DPT)

  • Tumwater Boulevard, Tumwater, Thurston County, Washington, 98512-7363, United States

    TUMWATER, WA 985016422

    Phone: (360) 528-3300

    Fax: (360) 528-8162

    Mailing address matches the actual address.

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: 2017-12-22

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
I20171222000547IPhysical Therapist In Private PracticeWATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,28851$0
97140Therapy procedure using manual technique, each 15 minutes71547$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12725$0
97530Therapy procedure using functional activities11012$0
97164Re-evaluation for physical therapy, typically 20 minutes4725$0
View full utilization report →

Insurance plans in this area (ZIP 98501)

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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: 2062303969View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
-WA
-WA

Reviews

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Frequently asked questions

How is NICOLE CATHLEEN FERNANDEZ (DPT) identified in CMS data?
CMS-hosted NPPES data lists NICOLE CATHLEEN FERNANDEZ (DPT) with NPI 1679086144.
Does the file indicate NICOLE CATHLEEN FERNANDEZ (DPT) is practicing under active NPI?
Directory data currently reports NICOLE CATHLEEN FERNANDEZ (DPT) as active.
What is NICOLE CATHLEEN FERNANDEZ (DPT) best known for clinically?
Directory data describes NICOLE CATHLEEN FERNANDEZ (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is NICOLE CATHLEEN FERNANDEZ (DPT) based?
NICOLE CATHLEEN FERNANDEZ (DPT) is tied to Tumwater, Washington in the data we show; additional addresses may exist on the full record.
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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