DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE BERG, PT, DPT

Active

NICOLE BERG, PT, DPT is a Physical Therapy Assistant healthcare provider located in DETROIT LAKES, Minnesota. NPI 1003692427 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · DETROIT LAKES, MN

Registration Details

NPI Number
1003692427
Provider Type
Individual
Gender
Female
NPI Issued
Sep 1, 2023 (2.9113008603754 yrs)
Last Updated
Nov 13, 2025
Licenses
13305 (MN)
2746 (ND)

Practice Information

Address
1245 WASHINGTON AVE
DETROIT LAKES, MN, 565013923
Browse MN providers · Browse ZIP 56501
Phone
2188462000
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in DETROIT LAKES, MN

Name Credential NPI
CHRISTOPHER P GRISMER PHD, PT 1972554681
CARRIE A TOBKIN PT 1841246428
NANCY RUTLEDGE HAGGART PT 1649227257
TRACY L KELLER PT 1629015300
TESSA L THOMAS MPT 1770524308
HEATHER A KIEBKE DPT 1144265513
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.