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Nicole Elizabeth Roy, PT

Physical Therapist in Private Practice · Mountain View

NPI 1154768133

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
14 years
Graduated 2012

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location · Apogee Rehabilitative Therapy Services · 8 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Nicole Elizabeth Roy’s office at (650) 934-0455 to ask if they take your plan before you enroll.

California Medical Board record

Licence C39563 · Cancelled

Licence status: Cancelled · since 1980 · University of Buenos Aires Faculty of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$37,950

Medicare paid this office $37,950 for 27 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27$14,014$29
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27$9,697$19
Therapy procedure using manual technique, each 15 minutes27$9,250$18
Re-evaluation for physical therapy, typically 20 minutes23$3,222$62
Evaluation for physical therapy, typically 20 minutes14$1,395$93

Who their Medicare patients are

27 Original Medicare patients in 2024. Average age 73 · Women 59% · Also on Medicaid 0% · Health risk score 0.95. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 44%.

The office billed $120,450, Medicare allowed $49,144 and paid $37,950; for 1,568 services of 7 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024271,568730.95$120,450$37,950
2023211,036730.78$80,000$25,285
202214530741.18$40,775$12,927
201912172750.60$8,090$3,900
2018611,670750.80$76,066$45,876
201736739761.12$31,834$18,758
201515251750.89$10,950$5,740
201423417731.24$18,480$10,214

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes19$7,769$29
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes21$6,848$20
Therapy procedure using manual technique, each 15 minutes21$6,780$18
Re-evaluation for physical therapy, typically 20 minutes17$2,269$65
Evaluation for physical therapy, typically 20 minutes17$1,620$85

2022: 3 services

Original Medicare services billed in 2022
Therapy procedure using manual technique, each 15 minutes14$4,198$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13$3,645$22
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12$3,433$30

2019: 3 services

Original Medicare services billed in 2019
Therapy procedure using functional activities12$1,657$30
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12$1,119$20
Therapy procedure using manual technique, each 15 minutes12$872$16

2018: 5 services

Original Medicare services billed in 2018
Therapy procedure using functional activities61$18,879$36
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes61$12,165$23
Therapy procedure using manual technique, each 15 minutes61$9,792$19
Evaluation for physical therapy, typically 20 minutes39$2,979$73
Re-evaluation for physical therapy, typically 20 minutes20$1,619$52

2017: 4 services

Original Medicare services billed in 2017
Therapy procedure using functional activities36$7,338$31
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36$5,197$22
Therapy procedure using manual technique, each 15 minutes36$4,698$20
Re-evaluation for physical therapy, typically 20 minutes12$588$39

2015: 2 services

Original Medicare services billed in 2015
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15$3,536$23
Therapy procedure using manual technique, each 15 minutes14$1,700$20

2014: 3 services

Original Medicare services billed in 2014
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23$6,462$24
Therapy procedure using manual technique, each 15 minutes20$2,487$20
Physical therapy evaluation16$1,172$69

Professional record

NPI
1154768133
Licence
CA 39563California C39563: Cancelled
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
5050 El Camino Real, 210, Los Altos, CA, 94022
NPI first listed
2013-05-30
NPI last updated
2017-03-30

This is when the NPI record was last certified, not a medical board exam.