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

Nicole Roche, MPT

Individual provider Pediatric Physical Therapist · NPI 1770685406

Nicole Roche, MPT is a Pediatric Physical Therapist in Centreville, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

14527 Picket Oaks Rd
Centreville, VA 20121-2358
Phone: (703) 222-2421
Fax: (703) 222-2421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 2305006282 (VA)

Record details

NPI number1770685406
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorYes
NPI enumeratedSeptember 2, 2006
Last updated in NPPESJuly 8, 2007

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