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NPI Code Detail

MEDICARE: NICOLE PINKERTON PT

MEDICARE: NICOLE PINKERTON PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1373166TX

General Provider Information

NPI Number : 1962109850
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE PINKERTON PT
Provider Business Mailing Address
First Line : 3012 WILLING AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-3466
Country : US
Telephone Number : 817-524-5891
Fax Number :
Provider Business Practice Location Address
First Line : 2121 MIDWAY RD STE 145
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-5263
Country : US
Telephone Number : 972-815-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2023
Last Update Date : 08/11/2025

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Directions to “ NICOLE PINKERTON PT” Practice Location

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