Individual provider · Type 1 NPI

Nicole Jacclyn Raczka, DPT

Physical Therapist · Port Charlotte, FL

NPI number 1508781279 Active

Practice location

2150 Tamiami Trl Unit 9
Port Charlotte, FL 33948-2134

Call (941) 222-0395 Map

Mailing address

615 Hartford Dr NW
Port Charlotte, FL 33952-6408

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT45200 (FL)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1508781279

Nicole Jacclyn Raczka, DPT's National Provider Identifier is 1508781279, issued on Aug 12, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Port Charlotte, FL. The record was last updated on Aug 12, 2026.