Individual provider Active NPI

Nicole Rene Thurow, PT , DPT

  • Physical Therapist
  • Shorewood, WI
National Provider Identifier
1669820775
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1643124 Issued in WI
Practice address
3970 N Oakland Ave Ste 503
Shorewood, WI 53211-2265
Phone
(262) 439-1377
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 1643124 WI Primary

Addresses

Primary practice location

3970 N Oakland Ave Ste 503
Shorewood, WI 53211-2265

Mailing address

4108 N Morris Blvd
Shorewood, WI 53211-1839
Phone (262) 439-1377

Other names 1

  • Nicole Rene Garey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1643124WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1669820775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 N MORRIS BLVD",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111839",
            "telephone_number": "262-439-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE STE 503",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "262-439-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUROW",
        "first_name": "NICOLE",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "PT , DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1643124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GAREY",
            "middle_name": "RENE",
            "credential": "PT , DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shorewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.