Active NPI
Robert A Nicolas, DPT
- Physical Therapist
- Mission, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1376099
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1376099 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xcell Orthopaedics Institute of Sports Performance, LLC | Physical Therapist | Current | Accepting new patients |
| Xcell Orthopaedics Institute of Sports Performance & Rehab | Physical Therapist | Past | 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.
-
- Physical Therapist
- McAllen, TX
- NPI 1386671378
-
- Physical Therapist
- McAllen, TX
- NPI 1851759955
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.