Individual provider Active NPI

Angela Marie Widlacki, PT, DPT

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1073341541
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1393150 Issued in TX
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

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Meredith S. Tittle, P.T., LLCGroup PAC ID 9830491596, 22 clinicians

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

OrganizationSpecialtyStatusNew patients
Meredith S. Tittle, P.T., LLC Physical Therapist CurrentSince May 4, 2026 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.

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.

Verify at the official NPI Registry.