Individual ProviderNichole E VolstadPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4215 Burns Rd Ste 100, Palm Beach Gardens, FL 33410-4627(561) 727-1175(561) 814-3714PECOS EnrollmentBased on the most recent information from CMS, provider Nichole E Volstad does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1598230518Provider TypeIndividualFull NameVolstad, Nichole ECredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date10/5/2018Last Updated10/5/2018Contact InformationPractice LocationPractice Address4215 Burns Rd Ste 100, Palm Beach Gardens, FL 33410-4627Phone(561) 727-1175FaxUnlisted FaxMailing LocationMailing Address9000 Portofino Cir Apt 103, Palm Beach Gardens, FL 33418-1245Phone(561) 814-3714FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense34006Florida