Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory Shane Dirickson, LPTA

Individual provider Physical Therapy Assistant · NPI 1376108704

Gregory Shane Dirickson, LPTA is a Physical Therapy Assistant in Bangs, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019

Practice location Address checks out

1105 E Fitzgerald St
Bangs, TX 76823-3232
Phone: (325) 752-7682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2128687 (TX)

Record details

NPI number1376108704
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESMay 1, 2019

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