Active NPI
Angela Marie Widlacki, PT, DPT
- Physical Therapist
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1393150
- Practice address
- 8195 Custer Rd Ste 100
Frisco, TX 75035-3195 - Phone
- (940) 241-1215
- Fax
- (940) 455-2041
- NPI assigned
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1393150 | TX | Primary |
Addresses
Primary practice location
8195 Custer Rd Ste 100
Frisco, TX 75035-3195
Mailing address
4040 Bryce LN
Flower Mound, TX 75077-7038
Phone (940) 241-1215
Other practice location 1
7211 Preston Rd Ste T1110
Plano, TX 75024-4700
Phone (469) 303-3000
Other practice location 2
4040 Bryce Ln
Flower Mound, TX 75077-7038
Phone (940) 241-1215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4040 Bryce LN
Flower Mound, TX 75077-7038
Phone (940) 241-1215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meredith S. Tittle, P.T., LLC | Physical Therapist | Current | Accepting new patients |
Locations
8195 Custer Rd
Ste 100
Frisco, TX 75035
Phone (940) 241-1215
4040 Bryce Ln
Lewisville, TX 75077
Phone (940) 241-1215
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Flower Mound, TX
- NPI 1245553395
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1073341541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 BRYCE LN",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750777038",
"telephone_number": "940-241-1215",
"fax_number": "940-455-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8195 CUSTER RD STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750353195",
"telephone_number": "940-241-1215",
"fax_number": "940-455-2041"
}
],
"practiceLocations": [
{
"address_1": "7211 Preston Rd Ste T1110",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750244700",
"country_code": "US",
"telephone_number": "469-303-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4040 Bryce Ln",
"address_purpose": "LOCATION",
"city": "Flower Mound",
"state": "TX",
"postal_code": "750777038",
"country_code": "US",
"telephone_number": "940-241-1215",
"fax_number": "940-455-2041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIDLACKI",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1393150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.