Provider Demographics
NPI:1760985816
Name:REED, NICOLE F (DPT)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:F
Last Name:REED
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:F
Other - Last Name:MATTERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7710 OLENTANGY RIVER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1353
Mailing Address - Country:US
Mailing Address - Phone:614-841-3900
Mailing Address - Fax:614-841-3930
Practice Address - Street 1:1393 DUBLIN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1084
Practice Address - Country:US
Practice Address - Phone:614-487-9715
Practice Address - Fax:614-487-9716
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017303225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist