Nicole L. Pederson, DPT
Physical Therapist · Rice Lake, WI
Nicole L. Pederson, DPT is a physical therapist with a practice address in Rice Lake, Wisconsin, and NPI 1659498475, issued on Mar 25, 2007. Check the license (Wisconsin 12439, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicole L. Pederson
- Credential
- DPT
- Primary taxonomy
- Physical Therapist 225100000X
- License numbers
- 12439 WI
6343254-4810 UT
Self-reported in NPPES; status is on the state search - Practice location
- 2600 S Wisconsin Avenue, Rice Lake, WI 54868
- Phone
- (715) 236-3610
- Enumerated
- Mar 25, 2007
- Record last updated
- Feb 6, 2024
- Fax
- (715) 236-3615
- Medicare enrollment
- Enrolled (PECOS I20131127001198); accepts Medicare assignment
- Entity
- Type 1 · individual
Verify Nicole L. Pederson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 12439Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Optimum Therapies OF Rice LakeBarron, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
27 physical therapist records list a practice address in Rice Lake
They are 27 of the 401 NPPES records with a practice address in Rice Lake, and 6,585 physical therapist records in Wisconsin.
All 27 in Rice Lake → All 6,585 in Wisconsin → Every provider in Rice Lake →
Other physical therapist records in Wisconsin
- Jared Aarsvold, PT, DPTAltoona, WI1356208060
- Delia Abano, PTRhinelander, WI1780028852
- Mikayla Abbeduto, DPTWaukesha, WI1316513955
- Michelle Abbott, PT, DPTHudson, WI1508725698
- Nicole Abdo, DPTGreen Bay, WI1225315096
- Heather AbelsElkhorn, WI1760598064
- Kelsey Abendroth, PTNew London, WI1548783228
- Paul Abler, P.T.Hartland, WI1235281254
- Nada Abouelnaga, DPTAmery, WI1902632045
- Anne Abraham, PTMadison, WI1205903523
Common questions
What is Nicole L. Pederson, DPT's NPI number?
Nicole L. Pederson, DPT's National Provider Identifier (NPI) is 1659498475, issued on Mar 25, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Nicole L. Pederson, DPT located?
The NPPES record lists a practice address at 2600 S Wisconsin Avenue, Rice Lake, WI, 54868. Phone: (715) 236-3610. Providers update this record themselves, so call before visiting.
How can I verify Nicole L. Pederson, DPT's license?
NPPES lists Wisconsin license number 12439, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.