Individual provider Active NPI

Nicole Desiree Nelson-Kretz, PT, DPT, CMPT

  • Orthopedic Physical Therapist
  • Coral Springs, FL
National Provider Identifier
1609164359
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
26605 Issued in FL
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

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230720001863 FL Practitioner - Physical Therapist in Private Practice 9830559988 Reassigns benefits to 2 organizations

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
Allegiance Home Therapy, IncGroup PAC ID 2163608738, 6 clinicians
Empowerme Rehabilitation Florida, LLCGroup PAC ID 3274962790, 151 clinicians

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

LicenseStateTypeSpecialty
26605FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Florida, LLC CurrentSince Jul 7, 2023 Accepting new patients
Allegiance Home Therapy, Inc CurrentSince Mar 1, 2024 Accepting new patients
Empowerme Rehabilitation Florida, LLC Orthopedic CurrentSince Jul 7, 2023 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.

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.

Verify at the official NPI Registry.