NICOLE S HERZOG DPT
NPI 1164863429
Physical Therapist in Green Bay, WI

Active since July 15, 2013
1110 KEPLER DR, GREEN BAY, WI 54311(920) 288-4712 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2025, Dec 8, 2021, Jul 25, 2019 (3 updates tracked since 2019).

About Nicole S Herzog Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE S HERZOG DPT (NPI 1164863429) is an individual physical therapist in Green Bay, Wisconsin, licensed in Wisconsin (12336) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1164863429
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE S HERZOGCredential: DPT
Location Address1110 KEPLER DRGreen Bay, WI 54311-8306
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Enumeration DateJuly 15, 2013
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
NPI 1164863429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WI · 12336
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1110 KEPLER DR, Green Bay, WI 54311

Other Identifiers 1

Medicaid100082619WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Medicine & Rehabilitation (Sports Medicine)
1110 KEPLER DR
GREEN BAY, WI 54311
Orthopaedic Surgery
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Medicine & Rehabilitation
1110 KEPLER DR
GREEN BAY, WI 54311
Nurse Practitioner
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Medicine & Rehabilitation
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Therapy Assistant
1110 KEPLER DR
GREEN BAY, WI 54311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Herzog's NPI number?

The NPI number for Nicole Herzog is 1164863429. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Nicole Herzog located?

Nicole Herzog practices at 1110 Kepler Dr, Green Bay, WI 54311. The listed phone number is (920) 288-4712.

What is Nicole Herzog's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Nicole Herzog was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.