1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Physical Therapist
  6. NPI Profile

MR. NICKLAUS ELLIF BIEDERWOLF PT, DPT, CSCS
NPI 1497820476
Physical Therapist - Orthopedic in Phoenix, AZ

Active since November 22, 2006
11209 N TATUM BLVD, B-120, PHOENIX, AZ 85028(602) 795-8441(602) 795-8447 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nicklaus Ellif Biederwolf Pt, Dpt, Cscs NPPES

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

MR. NICKLAUS ELLIF BIEDERWOLF PT, DPT, CSCS (NPI 1497820476) is an individual orthopedic provider in Phoenix, Arizona, licensed in Arizona (6704) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1497820476
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMR. NICKLAUS ELLIF BIEDERWOLFCredential: PT, DPT, CSCS
Location Address11209 N TATUM BLVD, B-120Phoenix, AZ 85028-3091
Mailing AddressPo Box 269084Oklahoma City, OK 73126-9084 · (623) 398-8072 · Fax (623) 398-8235
Phone(602) 795-8441
Fax(602) 795-8447
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateNovember 4, 2015
✔ NPI 1497820476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in AZ · 6704
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
11209 N TATUM BLVD, Phoenix, AZ 85028
Open in Google Maps ↗

Other Identifiers 2

Medicaid908347AZ
Medicare PINZ142615AZ

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.

DR. MICHAEL D ROSELLINI M.D.
Radiology (Diagnostic Radiology)
11209 N TATUM BLVD, SUITE #110
PHOENIX, AZ 85028
Maricopa County (602) 248-8002
DR. JEFFREY DORIAN ISAACS M.D.
Internal Medicine (Hematology & Oncology)
11209 N TATUM BLVD, SUITE 260
PHOENIX, AZ 85028
Maricopa County (602) 494-6800
DR. SHALINI RAJEEV AGARWAL M.D.
Radiology (Diagnostic Radiology)
11209 N TATUM BLVD, SUITE # 110
PHOENIX, AZ 85028
Maricopa County (602) 248-8002
ANTHONY KATZ M.D.
Family Medicine
11209 N TATUM BLVD, SUITE 180
PHOENIX, AZ 85028
Maricopa County (602) 494-5155
ALLISON M GAYLOR NP
Nurse Practitioner (Family)
11209 N TATUM BLVD, SUITE 180
PHOENIX, AZ 85028
Maricopa County (602) 494-5155
DR. MARK L JACKSON M.D.
Radiology (Diagnostic Radiology)
11209 N TATUM BLVD, SUITE 110
PHOENIX, AZ 85028
Maricopa County (602) 248-8002
THOMAS W BAUCH M.D.
Family Medicine
11209 N TATUM BLVD, 175
PHOENIX, AZ 85028
Maricopa County (602) 652-8900
DR. JASON AARON SALGANICK MD
Internal Medicine (Medical Oncology)
11209 N TATUM BLVD, SUITE 260
PHOENIX, AZ 85028
Maricopa County (602) 494-6800

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 Nicklaus Biederwolf's NPI number?

The NPI number for Nicklaus Biederwolf is 1497820476. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Nicklaus Biederwolf located?

Nicklaus Biederwolf practices at 11209 N Tatum Blvd B-120, Phoenix, AZ 85028. The listed phone number is (602) 795-8441.

What is Nicklaus Biederwolf's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Nicklaus Biederwolf was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.