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NICOLE GUNDERSEN
NPI 1972994309
Physical Therapist - Neurology in Bridgeton, MO

Active since February 06, 2015
12380 DEPAUL DRIVE, BRIDGETON, MO 63044(314) 809-1860 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Gundersen NPPES

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

NICOLE GUNDERSEN (NPI 1972994309) is an individual neurology provider in Bridgeton, Missouri, licensed in Missouri (2011025926) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1972994309
Entity TypeIndividualFemale
Primary Taxonomy2251N0400X
Provider Legal NameNICOLE GUNDERSEN
Location Address12380 DEPAUL DRIVEBridgeton, MO 63044-2511
Mailing Address1127 Childress AveSaint Louis, MO 63139-3303 · (314) 809-1860
Phone(314) 809-1860
Sole ProprietorNo
Enumeration DateFebruary 6, 2015
✔ NPI 1972994309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251N0400X
License✔ Licensed in MO · 2011025926
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
12380 DEPAUL DRIVE, Bridgeton, MO 63044
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Other Providers at the Same Location NPPES 10

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

MADALYNN L LENGER
Physical Therapist
12380 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 447-9710
AMANDA SHULMAN MS, OTR/L
Occupational Therapist
12380 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 447-9710
KATHLEEN MIRANDA
Speech-Language Pathologist
12380 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 447-9700
KATHLEEN BYRD OTR/L
Occupational Therapist
12380 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 447-9710
HERBERT B. VILLAFLORES MD
Physical Medicine & Rehabilitation
12380 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 447-9700
ALLISON NICOLE HOTZ PHD
Psychologist (Clinical)
12380 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 447-9700
DAVINA L GEORGE NP
Nurse Practitioner (Gerontology)
12380 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County No phone listed
DR. MASEY LANE HOYER DPT
Physical Therapist
12380 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 447-9700

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 Gundersen's NPI number?

The NPI number for Nicole Gundersen is 1972994309. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Where is Nicole Gundersen located?

Nicole Gundersen practices at 12380 Depaul Drive, Bridgeton, MO 63044. The listed phone number is (314) 809-1860.

What is Nicole Gundersen's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

When was this NPI record last updated?

The NPPES record for Nicole Gundersen was last updated on February 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.