Individual provider Active NPI

Nichole Ann Roiko, PT

  • Physical Therapist
  • Staples, MN
National Provider Identifier
1265622005
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7971 Issued in MN
Practice address
1210 US Highway 10 E
Ste 4
Staples, MN 56479
Phone
(218) 600-5370
Fax
(218) 216-1932
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7971 MN Primary

Addresses

Primary practice location

1210 US Highway 10 E
Ste 4
Staples, MN 56479

Mailing address

3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Phone (952) 512-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070926001189 MN Practitioner - Physical Therapist in Private Practice 7315032083 Reassigns benefits to 1 organization
I20161107000237 AK Practitioner - Physical Therapist in Private Practice 7315032083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PA 815 clinicians
Health Quest Therapy Inc 10 clinicians

Practice addresses (Care Compare)

3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300

650 N Shoreline Dr
Wasilla, AK 99654-6677
Phone (907) 376-6363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7971MNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Dec 8, 2025 Accepting new patients
Health Quest Therapy, Inc. Physical Therapist CurrentSince Aug 2, 2016 Accepting new patients
Infinite Health Collaborative, PA Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Monticello Physical Therapy & Sports Medicine, LLC Physical Therapist Past Accepting new patients
Novacare Outpatient Rehabilitation East Inc Past Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients

Locations

4015 Lake Otis Pkwy
Ste 200
Anchorage, AK 99508
Phone (907) 563-8318

11432 Business Blvd
Ste 18
Eagle River, AK 99577
Phone (907) 376-6363

650 N Shoreline Dr
Wasilla, AK 99654
Phone (907) 376-6363

650 N Shoreline Dr
Ste 101
Wasilla, AK 99654
Phone (907) 376-6363

3500 American Blvd W
Ste 300
Minneapolis, MN 55431
Phone (952) 512-5600

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

1210 US 10 E
Ste 4
Staples, MN 56479
Phone (218) 600-5370

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1265622005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 AMERICAN BLVD W STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314442",
            "telephone_number": "952-512-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 US HIGHWAY 10 E",
            "address_2": "STE 4",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "56479",
            "telephone_number": "218-600-5370",
            "fax_number": "218-216-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROIKO",
        "first_name": "NICHOLE",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staples, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.