Nancy Leigh Coldicott, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1134674 Issued in TX

Practice address

5802 Thunderbird St
Suite a
Lago Vista, TX 78645-5887

Phone

(512) 267-5400

Fax

(512) 267-5700

NPI assigned

Nov 27, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Nancy Leigh Fielman Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Medical School at Houston, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail A. Dankis, PT

  • Physical Therapist
  • Lago Vista, TX
  • NPI 1619082591
  Medicare reassignment
• William Janosek, PT, DPT

  • Physical Therapist
  • Lago Vista, TX
  • NPI 1609652916
  Medicare reassignment
• Renee Ann Tarlton, PT, MSPT

  • Physical Therapist
  • Lago Vista, TX
  • NPI 1932878485
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lago Vista Physical Therapy

  • Physical Therapist
  • Lago Vista, TX
  • NPI 1730416181
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1003899782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4649",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786450054",
            "telephone_number": "512-267-5400",
            "fax_number": "512-267-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 THUNDERBIRD ST",
            "address_2": "SUITE A",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786455887",
            "telephone_number": "512-267-5400",
            "fax_number": "512-267-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDICOTT",
        "first_name": "NANCY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-27",
        "last_updated": "2021-01-13",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1134674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "659590",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201463103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "FIELMAN",
            "middle_name": "LEIGH",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dricka Denice Brumsey, NURSE ASSISTANT
• Zachary L Calhoon, DPT
• Irene Anne Carrillo, BS RN CPN
• Jennifer Chiappone, LVN
• Tevin McDonald Cobalt, LCSW
• Emmalee Cook, LMT
• Haley M Covington, RN
• Andrea Ellen Cramer, M.D.
• Page Tenile Crouch, FNP
• CVS Pharmacy Inc

• Physical Therapist in Lago Vista, TX
• Providers in Lago Vista, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.