Nicole Joy Oberdorf, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1304196 Issued in TX

Practice address

134 Leatherleaf Dr
Buda, TX 78610-4022

Phone

(920) 960-7900

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wolfe Physical Therapy PLLCGroup PAC ID 6608249040, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wolfe Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Dripping Springs, TX
  • NPI 1073227336

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1689192577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 LEATHERLEAF DR",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786104022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 LEATHERLEAF DR",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786104022",
            "telephone_number": "920-960-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERDORF",
        "first_name": "NICOLE",
        "middle_name": "JOY",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1304196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Nichols
• Katy Nickles
• Jaismeen Nijjar, D.O.
• Yvette Marie Nunez, LCSW
• Rebecca Oates, LMFT
• Open Arms Community Care, Inc.
• Orthotic Solutions Group, Inc.
• Jordan Allison Ortiz
• Brooke Osborne, DC
• Heidi Marie Ostler, MD

• Physical Therapist in Buda, TX
• Providers in Buda, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.