Doctor profile · Federal record

Dr. Jacqueline Nicholson, PT, DPT

Physical Therapist (CMS: Physical Therapist in Private Practice) · Jefferson, WI

  • NPI 1114430725
  • Accepts Medicare
  • 10 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1130 Collins RD
Jefferson, WI 535492939
(262) 470-6950
fax (262) 470-6950
Mailing address
412 E Forest St
Oconomowoc, WI 530663708

Credentials & registration

NPPES · NUCC
NPI registered
November 2017 — 9 yrs on file
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
225100000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1114430725. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,671
Distinct HCPCS
6
Medicare allowed
$44,918
HCPCS Description Services Patients Avg allowed
97530 Therapy procedure using functional activities 564 35 $30
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 456 34 $22
97116 Therapy procedure for walking training, each 15 minutes 357 34 $21
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 254 28 $26
97161 Evaluation for physical therapy, typically 20 minutes 22 18 $97
97162 Evaluation for physical therapy, typically 30 minutes 18 12 $97

In context: peer comparison

Among 1 peers in Jefferson Physical Therapist, average services per provider: 278. This provider delivers 6.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jacqueline Nicholson's medical specialty?
Dr. Jacqueline Nicholson practices Physical Therapist in Jefferson, WI.
Where does Dr. Jacqueline Nicholson practice?
Dr. Jacqueline Nicholson practices at 1130 Collins RD, Jefferson, WI 535492939. Office phone: 2624706950.
What is Dr. Jacqueline Nicholson's NPI?
Dr. Jacqueline Nicholson's National Provider Identifier (NPI) is 1114430725, issued by NPPES.
Does Dr. Jacqueline Nicholson accept Medicare assignment?
Yes. Dr. Jacqueline Nicholson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacqueline Nicholson commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure for walking training (HCPCS 97116). Source: CMS Medicare Physician & Other Practitioners file.