Individual provider Active NPI

Nikki Del Kincy, PT, DPT

  • Physical Therapist
  • Garland, TX
National Provider Identifier
1275906539
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1263901 Issued in TX
Practice address
705 Walter Reed Blvd
100
Garland, TX 75042-5726
Phone
(972) 487-5570
Fax
(972) 487-5098
NPI assigned
Nov 9, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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 1263901 TX Primary

Addresses

Primary practice location

705 Walter Reed Blvd
100
Garland, TX 75042-5726

Mailing address

705 Walter Reed Blvd
100
Garland, TX 75042-5726
Phone (972) 487-5570

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

State licenses

LicenseStateTypeSpecialty
1263901TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bir JV LLP Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1275906539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WALTER REED BLVD",
            "address_2": "100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425726",
            "telephone_number": "972-487-5570",
            "fax_number": "972-487-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WALTER REED BLVD",
            "address_2": "100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425726",
            "telephone_number": "972-487-5570",
            "fax_number": "972-487-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCY",
        "first_name": "NIKKI",
        "middle_name": "DEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1263901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.