Individual provider Active NPI

Nicole Tombers, DPT

  • Physical Therapist
  • Hermantown, MN
National Provider Identifier
1396175444
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9380 Issued in MN
Practice address
4310 Menard Dr Ste 400
Hermantown, MN 55811-1565
Phone
(218) 722-5513
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 9380 MN Primary

Addresses

Primary practice location

4310 Menard Dr Ste 400
Hermantown, MN 55811-1565

Mailing address

1000 E 1St St Ste 404
Duluth, MN 55805-2297
Phone (218) 722-5513

Other practice location 1

1029 W Central Entrance
Duluth, MN 55811-5477
Phone (952) 835-4512

Other practice location 2

1000 E 1st St Ste 404
Duluth, MN 55805-2297
Phone (218) 722-5513

Other names 1

  • Nicole Lindahl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190604001424 MN Practitioner - Physical Therapist in Private Practice 5496088668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates of Duluth PAGroup PAC ID 1951294065, 37 clinicians

Practice addresses (Care Compare)

1000 E 1St St
Duluth, MN 55805-2297
Phone (218) 722-5513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9380MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Duluth, P.a. CurrentSince Feb 7, 2022 Accepting new patients
Infinite Health Collaborative, PA CurrentSince May 13, 2019 Accepting new patients
Infinite Health Collaborative, PA Physical Therapist CurrentSince May 13, 2019 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist CurrentSince May 21, 2019 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince May 21, 2019 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist Current Accepting new patients

Locations

6520 150th St W
Ste 100
Apple Valley, MN 55124

1000 E 1st St
Ste 404
Duluth, MN 55805
Phone (218) 722-5513

1029 W Central Entrance
Duluth, MN 55811
Phone (218) 206-7775

1000 E 1st St
Ste 400
Duluth, MN 55805
Phone (218) 625-2728

4310 Menard Dr
Ste 400
Hermantown, MN 55811
Phone (218) 625-2727

10091 Dogwood St NW
Minneapolis, MN 55448
Phone (763) 450-0298

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

8540 Quaday Ave NE
Otsego, MN 55330
Phone (763) 441-0298

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1396175444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST STE 404",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-722-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 MENARD DR STE 400",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111565",
            "telephone_number": "218-722-5513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 W Central Entrance",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558115477",
            "country_code": "US",
            "telephone_number": "952-835-4512",
            "fax_number": "888-425-0398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E 1st St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558052297",
            "country_code": "US",
            "telephone_number": "218-722-5513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMBERS",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LINDAHL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermantown, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.