NICOLE SCHROEDER PT, DPT
NPI 1629760780
Physical Therapist in Minneapolis, MN

Active since May 25, 2023
2112 BROADWAY ST NE STE 195, MINNEAPOLIS, MN 55413(612) 767-9917(612) 767-9918 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2023, May 25, 2023 (2 updates tracked since 2023).

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

NPI1629760780
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE SCHROEDERCredential: PT, DPT
Location Address2112 BROADWAY ST NE STE 195Minneapolis, MN 55413-3093
Mailing Address1939 Minnehaha Ave W Ste 300Saint Paul, MN 55104-1033 · (651) 748-4338 · Fax (651) 748-2892
Fax(612) 767-9918
Sole ProprietorNo
Enumeration DateMay 25, 2023
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1629760780 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 MN · 13127
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.
2112 BROADWAY ST NE STE 195, Minneapolis, MN 55413

Secondary Practice Location 1

Location 18770 Springbrook Dr NW Ste 100Coon Rapids, MN 55433-6100 · Phone (763) 231-1824 · Fax (612) 767-9918

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.

Sports Medicine
6545 FLYING CLOUD DR STE 201
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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
783 services25 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
581 services24 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
177 services15 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
166 services15 patients
Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
46 services14 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
15 services13 patients

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.

Physical Therapist
2112 BROADWAY ST NE STE 195
MINNEAPOLIS, MN 55413
Physical Therapist
2112 BROADWAY ST NE STE 195
MINNEAPOLIS, MN 55413

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.