Nicole Cathleen Fernandez, DPT
NPI 1679086144ActiveIndividual· Physical Therapist· Tumwater, WA
Physical Therapist (DPT) with Pro-Active Sportsmed PLLC, practicing in Tumwater, Washington. Medicare paid $63,960 for services to 54 patients in 2024.
Overview
| NPI | 1679086144 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Nov 7, 2017 |
| Last updated in NPPES | May 7, 2025 |
| Certified by provider | May 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 60785817 | WA |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 3,292 across 8 procedure codes |
| Paid by Medicare | $63,960 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Pro-Active Sportsmed PLLCTumwater, WA · 6 clinicians
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All 46 physical therapists in Tumwater · All physical therapists in Washington