NICOLE SCHROEDER PT, DPT
NPI 1629760780
Physical Therapist in Minneapolis, MN
About Nicole Schroeder Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE SCHROEDER PT, DPT (NPI 1629760780) is an individual physical therapist in Minneapolis, Minnesota, licensed in Minnesota (13127) and active in the NPI registry since May 2023. She maintains a secondary practice location in Coon Rapids.
NPPES Registry Identity
Specialties & Licenses
- 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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Schroeder Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Schroeder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eden Prairie, MN 55344
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Odom Sports Medicine PA
- 92 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Schroeder's NPI number?
The NPI number for Nicole Schroeder is 1629760780. It was assigned to this individual provider in the NPPES registry on May 25, 2023.
Where is Nicole Schroeder located?
Nicole Schroeder practices at 2112 Broadway St NE Ste 195, Minneapolis, MN 55413. The listed phone number is (612) 767-9917.
What is Nicole Schroeder's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Nicole Schroeder enrolled in Medicare?
Yes. Nicole Schroeder is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Schroeder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Schroeder reassigns Medicare benefits to Odom Sports Medicine, P.A. (Eden Prairie, MN). 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 Schroeder'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 Schroeder was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.