Organization Active NPI

Stride Physical Therapy and Performance PLLC

  • Physical Therapy Clinic/Center
  • Austin, TX
National Provider Identifier
1083573620
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STRIDE PHYSICAL THERAPY AND PERFORMANCE PLLC
Practice address
2119 Frate Barker Rd Unit 2105
Austin, TX 78748-3604
Phone
(336) 769-6162
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Mr. Edward Scott Nicklas, PT, DPTNPI 1588330666
Title
Physical Therapist
Phone
(336) 769-6162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2119 Frate Barker Rd Unit 2105
Austin, TX 78748-3604

Mailing address

8105 Marigny Way
Austin, TX 78744-1179
Phone (336) 769-6162

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1083573620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 MARIGNY WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441179",
            "telephone_number": "336-769-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 FRATE BARKER RD UNIT 2105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483604",
            "telephone_number": "336-769-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE PHYSICAL THERAPY AND PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "NICKLAS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "336-769-6162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.