Individual provider Active NPI

Nicole Herpich, DPT

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1821876871
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40633 Issued in FL
Practice address
211 S Narcissus Ave
West Palm Beach, FL 33401-5654
Phone
(561) 790-8256
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 40633 FL Primary

Addresses

Primary practice location

211 S Narcissus Ave
West Palm Beach, FL 33401-5654

Mailing address

4520 Portofino Way Apt 106
West Palm Beach, FL 33409-8139

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222000569 FL Practitioner - Physical Therapist in Private Practice 2567806110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Nova Southeastern College of Osteo Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S2 Physical Therapy P.a.Group PAC ID 9830426055, 9 clinicians

Practice addresses (Care Compare)

211 S Narcissus Ave
Mu 1
West Palm Beach, FL 33401-5654
Phone (561) 790-8256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40633FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
S2 Physical Therapy P.a. Physical Therapist CurrentSince Feb 14, 2024 Accepting new patients

Locations

211 S Narcissus Ave
Apt 1
West Palm Beach, FL 33401
Phone (561) 790-8256

1 Bridge St
Ste 71
Irvington, NY 10533
Phone (914) 375-3434

Organizations & group practices 1

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1821876871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 PORTOFINO WAY APT 106",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S NARCISSUS AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015654",
            "telephone_number": "561-790-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERPICH",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.