Individual provider · Type 1 NPI

Corey Nickerson II, PT, DPT

Physical Therapist · Dallas, TX

NPI number 1073378097 Active

Practice location

10233 E Northwest Hwy Ste 410
Dallas, TX 75238-4430

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X1389702 (TX)

Physical Therapist: 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, r…

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About NPI 1073378097

Corey Nickerson II, PT, DPT's National Provider Identifier is 1073378097, issued on Feb 19, 2024. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Dallas, TX. The record was last updated on Oct 1, 2026.