Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Agosto

Individual provider Physical Therapist · NPI 1275964520

Nicole Agosto is a Physical Therapist in Private Practice in Santa Rosa, California. Qualified in 2012, 14 years ago. Practices with Santa Rosa Back Fitness and Physical Therapy Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2013

Practice location Address checks out

2798 Yulupa Ave Ste 1
Santa Rosa, CA 95405-8570
Phone: (707) 527-4001
Fax: (707) 527-7167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT39944 (CA)

Record details

NPI number1275964520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2013
Last updated in NPPESApril 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Santa Rosa Back Fitness And Physical Therapy Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Rosa