Active NPI
Nicole Rodman, PT
- Physical Therapist
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1177273
- Practice address
- 1643 Lancaster Dr Ste 100
Grapevine, TX 76051-3593 - Phone
- (817) 329-2524
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- 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 | 1177273 | TX | Primary |
Addresses
Primary practice location
1643 Lancaster Dr Ste 100
Grapevine, TX 76051-3593
Mailing address
1643 Lancaster Dr Ste 100
Grapevine, TX 76051-3593
Phone (817) 329-2524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1177273 | Other | TX | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5311 N Loop 1604
Suite 104
San Antonio, TX 78249-4392
Phone (726) 227-9610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Texas Limited Partnership | Current | Accepting new patients | |
| Select Physical Therapy Texas Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Dallas Nephrology Associates | Past | Accepting new patients | |
| Bir JV LLP | Past | Accepting new patients |
Locations
4899 Highway 6
Ste 212C
Missouri City, TX 77459
Phone (346) 371-2121
5311 N Loop 1604 W
Ste 104
San Antonio, TX 78249
Phone (726) 227-9610
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
Interoperability endpoints
- https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 6
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 Therapy Clinic/Center
- Tomball, TX
- NPI 1770254179
Physical Therapist
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Ph.D. Medical Genetics
- Houston, TX
- NPI 1881026664
-
- Rehabilitation Clinic/Center
- Garland, TX
- NPI 1043273196
-
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
-
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1053634030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1861680324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 LANCASTER DR STE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513593",
"telephone_number": "817-329-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 LANCASTER DR STE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513593",
"telephone_number": "817-329-2524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODMAN",
"first_name": "NICOLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1177273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1177273",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.