Individual provider Active NPI

Nicole Catherine Siciliano, DPT

  • Physical Therapist
  • Flower Mound, TX
National Provider Identifier
1982349858
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019531 Issued in OH
Practice address
4040 Bryce LN
Flower Mound, TX 75077-7038
Phone
(940) 241-1215
Fax
(940) 455-2041
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 PT019531 OH Primary

Addresses

Primary practice location

4040 Bryce LN
Flower Mound, TX 75077-7038

Mailing address

4040 Bryce LN
Flower Mound, TX 75077-7038
Phone (940) 241-1215

Other practice location 1

9885 Ginger Hill Rd
New Middletown, OH 44442-8782
Phone (330) 423-3115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615001888 TX Practitioner - Physical Therapist in Private Practice 6507224045 Reassigns benefits to 2 organizations

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)

103 Vine St
Suite C
Connersville, IN 47331-2649

4040 Bryce LN
Flower Mound, TX 75077-7038

8150 Boulevard
Suite 26
North Richland Hills, TX 76180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019531OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy TX LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Flexology LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Meredith S. Tittle, P.T., LLC Physical Therapist CurrentSince May 13, 2024 Accepting new patients

Locations

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

4120 Heritage Trace Pkwy
Ste 220
Fort Worth, TX 76244
Phone (817) 741-7585

1600 FM 544
Ste 200
Lewisville, TX 75056
Phone (214) 295-5677

4040 Bryce Ln
Lewisville, TX 75077
Phone (940) 241-1215

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

1959 W Southlake Blvd
Ste 180
Southlake, TX 76092
Phone (330) 423-3115

Organizations & group practices 4

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1982349858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BRYCE LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750777038",
            "telephone_number": "940-241-1215",
            "fax_number": "940-455-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BRYCE LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750777038",
            "telephone_number": "940-241-1215",
            "fax_number": "940-455-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9885 Ginger Hill Rd",
            "address_purpose": "LOCATION",
            "city": "New Middletown",
            "state": "OH",
            "postal_code": "444428782",
            "country_code": "US",
            "telephone_number": "330-423-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICILIANO",
        "first_name": "NICOLE",
        "middle_name": "CATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.