Individual provider Active NPI

Nickolas Austin Pippert, PT, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1699344549
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP038437T Issued in CO
Practice address
8070 Park LN Ste 130
Dallas, TX 75231-6439
Phone
(469) 372-0021
Fax
(469) 372-0029
NPI assigned
Jun 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP038437T CO Primary
Physical Medicine & Rehabilitation Physician 208100000X 1347018 TX
Physical Therapist 225100000X CP031841T GA

Addresses

Primary practice location

8070 Park LN Ste 130
Dallas, TX 75231-6439

Mailing address

3500 Oak Lawn Ave Ste 670
Dallas, TX 75219-4399
Phone (214) 528-3378

Other practice location 1

136 W Belmont Dr Ste 12
Calhoun, GA 30701-3064
Phone (706) 625-0662

Other practice location 2

605 E Booneslick Rd Ste 3
Warrenton, MO 63383-2100
Phone (636) 456-6350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nick@3dphysicaltherapy.net 3DPT, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210726003048 TX Practitioner - Physical Therapist in Private Practice 3779986989 Reassigns benefits to 1 organization
I20260306000361 GA Practitioner - Physical Therapist in Private Practice 3779986989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Phoenix, AZ 85072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP038437TCOMDPhysical Therapist
CP031841TGAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
3DPT, PLLC Physical Therapist CurrentSince Jun 4, 2021 Accepting new patients
PT Solutions of Acworth LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
PT Solutions of Acworth LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist Past Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Feb 1, 2017 Accepting new patients
Babar Enterprises LLC Physical Therapist PastSince Sep 23, 2024 Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients

Locations

351 Northside Dr
Valdosta, GA 31602
Phone (229) 262-3377

3500 Oak Lawn Ave
Ste 240
Dallas, TX 75219
Phone (214) 528-3378

3500 Oak Lawn Ave
Ste 670
Dallas, TX 75219
Phone (214) 528-3378

8070 Park Ln
Ste 130
Dallas, TX 75231
Phone (469) 372-0021

Organizations & group practices 8

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1699344549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE STE 670",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194399",
            "telephone_number": "214-528-3378",
            "fax_number": "214-528-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 PARK LN STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752316439",
            "telephone_number": "469-372-0021",
            "fax_number": "469-372-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 W Belmont Dr Ste 12",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307013064",
            "country_code": "US",
            "telephone_number": "706-625-0662",
            "fax_number": "706-625-0582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 E Booneslick Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "MO",
            "postal_code": "633832100",
            "country_code": "US",
            "telephone_number": "636-456-6350",
            "fax_number": "636-456-6084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPPERT",
        "first_name": "NICKOLAS",
        "middle_name": "AUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP038437T",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1347018",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP031841T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nick@3dphysicaltherapy.net",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "3DPT, PLLC",
            "address_1": "8222 Douglas Ave Ste 430",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752255941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.