Individual provider Active NPI

Nycole Pataki, PT, DPT

  • Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1972457281
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-034693 Issued in AZ
Practice address
12460 N Rancho Vistoso Blvd Ste 140
Oro Valley, AZ 85755-1989
Phone
(520) 615-6573
Fax
(520) 575-7014
NPI assigned
Feb 24, 2026
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 LPT-034693 AZ Primary

Addresses

Primary practice location

12460 N Rancho Vistoso Blvd Ste 140
Oro Valley, AZ 85755-1989

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311003681 AZ Practitioner - Physical Therapist in Private Practice 9830672419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athlon Physical Therapy LLCGroup PAC ID 9739281544, 18 clinicians

Practice addresses (Care Compare)

12460 N Rancho Vistoso Blvd
Suite 140
Oro Valley, AZ 85755-1989
Phone (520) 615-6573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-034693AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athlon Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2026 Accepting new patients

Locations

12460 N Rancho Vistoso Blvd
Ste 140
Oro Valley, AZ 85755
Phone (520) 615-6573

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1972457281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 N RANCHO VISTOSO BLVD STE 140",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551989",
            "telephone_number": "520-615-6573",
            "fax_number": "520-575-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAKI",
        "first_name": "NYCOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.