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Nicole Joy Oberdorf, PT, DPT, ATC

Physical Therapist in Buda, TX. Individual provider (NPI-1).

NPI number1689192577
StatusActive
Last updated in NPPESJan 8, 2024

Details

NPI
1689192577
Entity type
Individual (NPI-1)
Name
Nicole Joy Oberdorf
Credential
PT, DPT, ATC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2017
Certification date
Jan 8, 2024
Last updated
Jan 8, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1304196TXYes

Practice location

134 Leatherleaf Dr
Buda, TX 78610-4022

Phone 920-960-7900

Mailing address

134 Leatherleaf Dr
Buda, TX 78610-4022

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Buda, TX

All 14 Physical Therapist providers in Buda · All 489 providers in Buda

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