Nicole Lynne Williams, PTA
Individual provider Active NPI Physical Therapy Assistant · Dallas, TX
NPI 1649068834 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1649068834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2074490 (TX)
- Practice address
- 7929 Brookriver Dr
Dallas, TX 75247-4900 - Phone
- (214) 389-6663
- Fax
- (214) 351-6453
- NPI assigned
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2074490 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant |
225200000X | 2074490 | TX | Yes |
Addresses
Primary practice location
7929 Brookriver Dr
Dallas, TX 75247-4900
Mailing address
415 Suffolk Dr
Grand Prairie, TX 75052-2584
Phone (214) 883-6712
Other providers in Dallas, TX
- Monique Adrianna Williams
- Myra Meshell Williams
- Naisha Williams
- Natalie Williams
- Nayloni Williams
- Patricia Lizette Williams
- Phillip Earle Williams
- Prisca Williams
- Rabun Williams
- Rachel Gwyneth Williams
All providers in Dallas, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.