NICOLE SURDYKA DPT
NPI 1184176109
Physical Therapist in Avondale, AZ

Active since October 25, 2016
765 N 114TH AVE STE 101, AVONDALE, AZ 85323(602) 933-7778 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2024, Aug 8, 2024, Oct 25, 2016 (3 updates tracked since 2016).

About Nicole Surdyka Dpt NPPES

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

NICOLE SURDYKA DPT (NPI 1184176109) is an individual physical therapist in Avondale, Arizona, licensed in Arizona (LPT-033823) and active in the NPI registry since October 2016. She maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1184176109
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE SURDYKACredential: DPT
Location Address765 N 114TH AVE STE 101Avondale, AZ 85323-5003
Mailing Address2108 E Thomas RdPhoenix, AZ 85016-7761 · (602) 933-3124
Sole ProprietorNo
Enumeration DateOctober 25, 2016
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1184176109 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
Licenses✔ Licensed in AZ · LPT-033823✔ Licensed in CA · 43065
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.
765 N 114TH AVE STE 101, Avondale, AZ 85323

Other Names 1

Former Name (1)Nicole Canning

Secondary Practice Location 1

Location 13116 W Augusta AvePhoenix, AZ 85051-6530 · Phone (908) 433-7318

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Surdyka Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicole Surdyka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Physical Therapist
765 N 114TH AVE STE 101
AVONDALE, AZ 85323
Physical Therapist
765 N 114TH AVE STE 101
AVONDALE, AZ 85323
Physical Therapist
765 N 114TH AVE STE 101
AVONDALE, AZ 85323
Physical Therapist
765 N 114TH AVE STE 101
AVONDALE, AZ 85323
Physical Therapist
765 N 114TH AVE STE 101
AVONDALE, AZ 85323

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 Surdyka's NPI number?

The NPI number for Nicole Surdyka is 1184176109. It was assigned to this individual provider in the NPPES registry on October 25, 2016. The provider is also known as Nicole Canning.

Where is Nicole Surdyka located?

Nicole Surdyka practices at 765 N 114th Ave Ste 101, Avondale, AZ 85323. The listed phone number is (602) 933-7778.

What is Nicole Surdyka's specialty?

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

Is Nicole Surdyka enrolled in Medicare?

Yes. Nicole Surdyka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Surdyka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Surdyka reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Surdyka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Surdyka was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.