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Dr. Edward Scott Nicklas , DPT

Physical Therapist β€’ Kyle, TX

Active NPI 1588330666 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

135 Bunton Creek Rd Ste 302
Kyle, TX 786405701

Call 5124923726 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

135 Bunton Creek Rd Ste 302

Kyle, TX 786405701

Telephone 5124923726
Fax 5124923729
Organization at the Same NPPES Address or Phone
Mark Malone Md Pa Facility NPI 1225614936

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Round Rock, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Lone Star Physical Therapy Services Llc; Texas Luna Care Physical Therapy Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Nicklas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Kyle and Texas

40 active clinicians are listed under Physical Therapist with a practice address in Kyle, TX (15,219 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kyle

0% of these 40 clinicians have the CMS telehealth indicator.

50% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-03
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES TX 1351611

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20250327001557

Enrollment State Jurisdiction

TX

PECOS Control ID

8628591922

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lone Star Physical Therapy Services Llc

2000 S Mays St, Round Rock, TX 786647577

Phone: 5124923726

Texas Luna Care Physical Therapy Llc

180 State St, Southlake, TX 760927632

Phone: 8665253175

Secondary Practice Locations

2000 S Mays St Ste 300

Round Rock, TX 786647580

Phone: 5124923726

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Linda Bledsoe , LSCSW

Social Worker - Clinical

NPI 1316245830
Dr. Matthew Hellman , MD

Pain Medicine - Interventional Pain Medicine

NPI 1952694523

Doctor of Medicine (M.D.)

Leah Williams , NP

Nurse Practitioner

NPI 1578177671

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 03, 2025

Registered at 135 BUNTON CREEK RD STE 302, KYLE, TX 786405701 (Tel: 5124923726)

πŸ“
Updated Business Mailing Address April 03, 2025

Registered at 101 W LOUIS HENNA BLVD STE 300, AUSTIN, TX 787281203 (Tel: 5124923743)

βœ…
NPI Profile Active August 19, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 19, 2021

Registered at 1111 N 6TH ST, LONGVIEW, TX 756015537 (Tel: 9035224111)

πŸ“
Business Mailing Address (Initial Record) August 19, 2021

Registered at 4350 OLD OMEN RD APT 7305, TYLER, TX 757072546 (Tel: 3367696162)

πŸ‘€
Provider Name / Credentials (Initial Record) August 19, 2021

Recorded as EDWARD NICKLAS, DPT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2021

Physical Therapist (license number reported to NPPES: TX 1351611)

🟒
Initial NPI Registration & Enumeration August 19, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588330666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2021
Last Update: April 03, 2025
Sole Proprietor: No

Other Physical Therapists in Kyle

All Physical Therapists in Kyle

Mailing Address

101 W Louis Henna Blvd Ste 300

Austin, TX 787281203

Phone: 5124923743

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.