Individual provider Active NPI

Nicole Kieu Nguyen

  • Physical Therapist
  • Allen, TX
National Provider Identifier
1114833464
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1408897 Issued in TX
Practice address
788 S Watters Rd Ste 110
Allen, TX 75013-5122
Phone
(469) 270-7600
NPI assigned
Aug 19, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 1408897 TX Primary

Addresses

Primary practice location

788 S Watters Rd Ste 110
Allen, TX 75013-5122

Mailing address

3701 Harlington LN
Richardson, TX 75082-3632

Other practice location 1

6501 Preston Rd Ste 102
Plano, TX 75024-2604
Phone (469) 277-8477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Somervell County Hospital District Past Accepting new patients
Methodist McKinney Hospital LLC Past Accepting new patients

Organizations & group practices 2

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": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1114833464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 HARLINGTON LN",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 S WATTERS RD STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135122",
            "telephone_number": "469-270-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 Preston Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750242604",
            "country_code": "US",
            "telephone_number": "469-277-8477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NICOLE",
        "middle_name": "KIEU",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1408897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

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