NICOLE LYNN BURGESS PT
NPI 1194914648
Physical Therapist in Saint Joseph, MI

Active since October 22, 2007
183 PEACE BLVD, SAINT JOSEPH, MI 49085(269) 408-1636(269) 429-6451 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Lynn Burgess Pt NPPES

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

NICOLE LYNN BURGESS PT (NPI 1194914648) is an individual physical therapist in Saint Joseph, Michigan, licensed in Michigan (5501013985) and active in the NPI registry since October 2007. She maintains 2 additional practice locations and is a graduate of Other (2007).

NPPES Registry Identity

NPI1194914648
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE LYNN BURGESSCredential: PT
Location Address183 PEACE BLVDSaint Joseph, MI 49085-9146
Mailing Address183 Peace BlvdSaint Joseph, MI 49085-9146 · (269) 408-1636 · Fax (269) 429-6451
Fax(269) 429-6451
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 22, 2007
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1194914648 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 MI · 5501013985✔ Licensed in IN · 05009436A
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.
183 PEACE BLVD, Saint Joseph, MI 49085

Secondary Practice Locations 2

Location 1451 Health PkwyPaw Paw, MI 49079-8242 · Phone (269) 657-1490 · Fax (269) 657-1444
Location 253880 Carmichael DrSouth Bend, IN 46635-1567 · Phone (574) 247-9441

Other Identifiers 1

Medicaid200876240IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Lynn Burgess Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608963616
PECOS Enrollment IDI20250219001993

Medicare Billing Reassignment

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

Specialist
183 PEACE BLVD
Saint Joseph, MI 49085
  • Reassigned Medicare billing, Michigan enrollment
  • 15 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 15

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

Physical Therapist
183 PEACE BLVD
SAINT JOSEPH, MI 49085
Specialist
183 PEACE BLVD
SAINT JOSEPH, MI 49085
Nurse Practitioner
183 PEACE BLVD
SAINT JOSEPH, MI 49085
Physical Therapist (Orthopedic)
183 PEACE BLVD
SAINT JOSEPH, MI 49085
Orthopaedic Surgery
183 PEACE BLVD
SAINT JOSEPH, MI 49085
Physical Therapist
183 PEACE BLVD
SAINT JOSEPH, MI 49085
Orthopaedic Surgery
183 PEACE BLVD
SAINT JOSEPH, MI 49085
Orthopaedic Surgery
183 PEACE BLVD
SAINT JOSEPH, MI 49085

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 Burgess's NPI number?

The NPI number for Nicole Burgess is 1194914648. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Where is Nicole Burgess located?

Nicole Burgess practices at 183 Peace Blvd, Saint Joseph, MI 49085. The listed phone number is (269) 408-1636.

What is Nicole Burgess's specialty?

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

Is Nicole Burgess enrolled in Medicare?

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

Which organization bills Medicare for Nicole Burgess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Burgess reassigns Medicare benefits to Southwest Michigan Center For Orthopaedic And Sports Medicine P (Saint Joseph, MI). 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 Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Burgess accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nicole Burgess as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Burgess was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.