Nicolette Fonseca, PT, DPT
NPI 1538749817ActiveIndividual· Physical Therapist· Bandon, OR
Physical Therapist (PT, DPT) in Bandon, Oregon, licensed in TN and KS, with an NPI issued in April 2021.
Overview
| NPI | 1538749817 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Apr 12, 2021 |
| Last updated in NPPES | Apr 12, 2021 |
| Certified by provider | Mar 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11972 | TN |
| Physical Therapist | 225100000X | 11-06089 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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