Individual provider Active NPI

Nichole Galle, PT, DPT, CSCS

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1912430810
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1261878 Issued in TX
Practice address
14221 Hobby LN Apt 17110
Fort Worth, TX 76155-3580
Phone
(512) 751-1691
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1261878 TX Primary

Addresses

Primary practice location

14221 Hobby LN Apt 17110
Fort Worth, TX 76155-3580

Mailing address

14221 Hobby LN Apt 17110
Fort Worth, TX 76155-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221219001374 TX Practitioner - Physical Therapist in Private Practice 5294104097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthotx PLLCGroup PAC ID 9739161704, 83 clinicians

Practice addresses (Care Compare)

650 Hwy 287 N
Suite 160 Arlington Or
Mansfield, TX 76063-6876
Phone (817) 375-5200

800 Orthopedic Way
Dba Arlington Ortho
Arlington, TX 76015-1629
Phone (817) 375-5200

Merit-based Incentive Payment System (MIPS)

Final score
89.4 of 100Reported as group
Quality
77.91
Promoting interoperability
100
Improvement activities
40
Cost
86.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1261878TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotx, PLLC CurrentSince Oct 3, 2022 Accepting new patients
Orthotx, PLLC CurrentSince Oct 3, 2022 Accepting new patients

Locations

701 Highlander Blvd
#370
Arlington, TX 76015

800 Orthopedic Way
Arlington, TX 76015
Phone (817) 375-5375

650 Highway 287 S
Ste 160
Mansfield, TX 76063
Phone (817) 375-5320

Interoperability endpoints

  • Direct secure messaging: nichole.galle.1@15749.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1912430810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 HOBBY LN APT 17110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761553580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 HOBBY LN APT 17110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761553580",
            "telephone_number": "512-751-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLE",
        "first_name": "NICHOLE",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1261878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.