Nicole Burgess, PT
NPI 1194914648 · Physical Therapist · Saint Joseph, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Burgess, PT is a Physical Therapist provider in Saint Joseph, MI (NPI 1194914648).
Provider details
- NPI number
- 1194914648
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 05009436A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 53880 Carmichael DrSouth Bend, IN 46635-1567Phone: (574) 247-9441
- 451 Health PkwyPaw Paw, MI 49079-8242Phone: (269) 657-1490Fax: (269) 657-1444
Registry dates
- Enumerated
- 2007-10-22
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is Nicole Burgess's NPI number?
- Nicole Burgess's National Provider Identifier (NPI) is 1194914648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Burgess's specialty?
- Nicole Burgess is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicole Burgess located?
- Nicole Burgess's practice location on file with NPPES is 183 Peace Blvd, Saint Joseph, MI 49085-9146.
- What is Nicole Burgess's phone number?
- The practice phone number listed in the NPPES registry for Nicole Burgess is (269) 408-1636.
- Does Nicole Burgess accept Medicare?
- Nicole Burgess is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Burgess's NPI active?
- Yes — Nicole Burgess's NPI (1194914648) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.