Individual provider Active NPI

Robert A Nicolas, DPT

  • Physical Therapist
  • Mission, TX
National Provider Identifier
1427740976
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1376099 Issued in TX
Practice address
1512 E Griffin Pkwy Ste 10
Mission, TX 78572-2416
Phone
(956) 997-0201
NPI assigned
May 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 1376099 TX Primary

Addresses

Primary practice location

1512 E Griffin Pkwy Ste 10
Mission, TX 78572-2416

Mailing address

2001 S D St
McAllen, TX 78503-1854
Phone (956) 375-2216

Other practice location 1

1110 James St
Weslaco, TX 78596-6659
Phone (956) 375-2216

Other practice location 2

2001 S D St
McAllen, TX 78503-1854
Phone (956) 375-2216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023003035 TX Practitioner - Physical Therapist in Private Practice 8325494636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Xcell Orthopaedics Institute of Sports Performance, LLC 6 clinicians

Practice addresses (Care Compare)

2001 S D St
McAllen, TX 78503-1854
Phone (956) 686-2242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1376099TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Xcell Orthopaedics Institute of Sports Performance, LLC Physical Therapist CurrentSince Aug 15, 2023 Accepting new patients
Xcell Orthopaedics Institute of Sports Performance & Rehab Physical Therapist PastSince May 28, 2023 Accepting new patients

Locations

2001 S D St
McAllen, TX 78503
Phone (956) 375-2216

1512 E Griffin Pkwy
Ste 10
Mission, TX 78572
Phone (956) 375-2216

1110 James St
Weslaco, TX 78596
Phone (956) 375-2216

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1427740976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S D ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031854",
            "telephone_number": "956-375-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 E GRIFFIN PKWY STE 10",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722416",
            "telephone_number": "956-997-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 James St",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785966659",
            "country_code": "US",
            "telephone_number": "956-375-2216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 S D St",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785031854",
            "country_code": "US",
            "telephone_number": "956-375-2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1376099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.