Active NPI
Nicole Desiree Nelson-Kretz, PT, DPT, CMPT
- Orthopedic Physical Therapist
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 26605
- Practice address
- 210 N University Dr.
Coral Springs, FL 33072-7721 - Phone
- (954) 344-5220
- NPI assigned
- Jul 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 26605 | FL | Primary |
Addresses
Primary practice location
210 N University Dr.
Coral Springs, FL 33072-7721
Mailing address
5091 SW Bimini Circle N
Palm City, FL 34990-1615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Boca Raton, FL 33487
Phone (561) 367-0711
3400 SE Aster LN
Empowerme Rehabilitation Stuart
Stuart, FL 34994-5516
Phone (877) 367-9772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26605 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Florida, LLC | Current | Accepting new patients | |
| Allegiance Home Therapy, Inc | Current | Accepting new patients | |
| Empowerme Rehabilitation Florida, LLC | Orthopedic | Current | Accepting new patients |
| Rehabcare Group East, LLC | Past | Accepting new patients |
Locations
551 NW 77th St
Ste 111
Boca Raton, FL 33487
Phone (561) 367-0711
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 4
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.
-
- Physical Therapist
- Boca Raton, FL
- NPI 1134438484
-
- Multi-Specialty Clinic/Center
- Stuart, FL
- NPI 1184257602
Orthopedic
-
- Rehabilitation Clinic/Center
- The Villages, FL
- NPI 1477245892
-
- Rehabilitation Clinic/Center
- Shalimar, FL
- NPI 1407382278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1609164359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5091 SW BIMINI CIRCLE N",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349901615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N UNIVERSITY DR.",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330727721",
"telephone_number": "954-344-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON-KRETZ",
"first_name": "NICOLE",
"middle_name": "DESIREE",
"credential": "PT, DPT, CMPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-15",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "26605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.