Samuel Leon Nixon, DPT
Physical Therapist in Fort Worth, TX. Individual provider (NPI-1).
NPI number1720226509
StatusActive
Last updated in NPPESJan 19, 2017
Details
- NPI
- 1720226509
- Entity type
- Individual (NPI-1)
- Name
- Samuel Leon Nixon
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2009
- Last updated
- Jan 19, 2017
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1186960 | TX | Yes |
Practice location
2901 Acme Brick PlzFort Worth, TX 76109-4124
Phone 817-529-1900 · Fax 817-735-8884
Mailing address
2901 Acme Brick PlzFort Worth, TX 76109-4124
Phone 817-529-1900 · Fax 817-735-8884
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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.
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