NICOLE THIEDE DPT
NPI 1790651339
Physical Therapist in Kokomo, IN

Active since October 13, 2025
2108 E BOULEVARD, KOKOMO, IN 46902(765) 416-8480 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Thiede Dpt NPPES

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

NICOLE THIEDE DPT (NPI 1790651339) is an individual physical therapist in Kokomo, Indiana and active in the NPI registry since October 2025. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1790651339
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE THIEDECredential: DPT
Location Address2108 E BOULEVARDKokomo, IN 46902-2401
Mailing Address2211 Willowview DrIndianapolis, IN 46239-7733
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 12, 2025
✔ NPI 1790651339 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
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.
2108 E BOULEVARD, Kokomo, IN 46902

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

PECOS PAC ID9335626662
PECOS Enrollment IDI20260116002992

Medicare Billing Reassignment

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

Physical Therapist
5 BROADWAY PLZ
Peru, IN 46970
  • Reassigned Medicare billing, Indiana enrollment
  • 113 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 20

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

Occupational Therapy Assistant
2108 E BOULEVARD
KOKOMO, IN 46902
Physical Therapist
2108 E BOULEVARD
KOKOMO, IN 46902
Speech-Language Pathologist
2108 E BOULEVARD
KOKOMO, IN 46902
Occupational Therapist (Pediatrics)
2108 E BOULEVARD
KOKOMO, IN 46902
Physical Therapist
2108 E BOULEVARD
KOKOMO, IN 46902
Physical Therapy Assistant
2108 E BOULEVARD
KOKOMO, IN 46902
Speech-Language Pathologist
2108 E BOULEVARD
KOKOMO, IN 46902
Physical Therapist
2108 E BOULEVARD
KOKOMO, IN 46902

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 Thiede's NPI number?

The NPI number for Nicole Thiede is 1790651339. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Nicole Thiede located?

Nicole Thiede practices at 2108 E Boulevard, Kokomo, IN 46902. The listed phone number is (765) 416-8480.

What is Nicole Thiede's specialty?

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

Is Nicole Thiede enrolled in Medicare?

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

Which organization bills Medicare for Nicole Thiede's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Thiede reassigns Medicare benefits to Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Peru, IN). 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 Thiede's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Thiede accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Nicole Thiede 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 Thiede was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.