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

Nathan Drew Wibisono, PT, DPT

Individual provider Physical Therapist · NPI 1922782606

Nathan Drew Wibisono, PT, DPT is a Physical Therapist in Plano, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4701 W Parker Rd # 625
Plano, TX 75093-3376
Phone: (972) 398-2555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1377813 (TX)

Record details

NPI number1922782606
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 13, 2023
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

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