Corey Nickerson II, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1389702 Issued in TX

Practice address

10233 E Northwest Hwy Ste 410
Dallas, TX 75238-4430

Phone

(469) 221-9203

NPI assigned

Feb 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Dallas, TX
  • NPI 1255900296

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Vista JV Partners LLC

  • Multi-Specialty Clinic/Center
  • Lake Worth, TX
  • NPI 1326753377

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  Physical Therapist

  NPD
• Vista Physical Therapy LLC

  • Multi-Specialty Clinic/Center
  • Denton, TX
  • NPI 1699410555

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1073378097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 EVERGLADES DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10233 E NORTHWEST HWY STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384430",
            "telephone_number": "469-221-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON II",
        "first_name": "COREY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1389702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Nici, PH.D.
• Brenda Joyce Nickel, PA-C
• Janessa Lynn Nickel, PMHNP
• Katherine Nickell, MPAS, PA-C
• Lindsay A Nickels
• Ebony Nickerson, LPC
• Nico Home Healthcare Services, Inc
• David Andrew Nicol, M.D.
• Aria Laura Nicolai, PA-C
• Rory Nicolaides, M.D.

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.