Individual ProviderNicole WertsPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address500 Osborne Rd NE Ste 365, Fridley, MN 55432-2769(763) 236-2150PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Werts 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 yesterday at 12:57 PM.Profile DetailsProvider ID1720410590Provider TypeIndividualFull NameWerts, NicoleCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date8/5/2013Last Updated4/2/2020Contact InformationPractice LocationPractice Address500 Osborne Rd NE Ste 365, Fridley, MN 55432-2769Phone(763) 236-2150FaxUnlisted FaxMailing LocationMailing Address7225 University Ave NE, Fridley, MN 55432-3134Phone(763) 236-2150FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer