Nickole Lee Corato, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA28141 Issued in FL

Practice address

10 W Grove Ave
Lake Wales, FL 33853-4516

Phone

(863) 412-1611

NPI assigned

Oct 8, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: waters.edge@selectrehab.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1255972550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W GROVE AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534516",
            "telephone_number": "863-632-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W GROVE AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534516",
            "telephone_number": "863-412-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORATO",
        "first_name": "NICKOLE",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Waters.Edge@selectrehab.com",
            "affiliation": "N",
            "address_1": "10 W Grove Ave",
            "city": "Lake Wales",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338534516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapy Assistant in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.