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

Nicolas Civale

Individual provider Physical Therapist · NPI 1356808463

Nicolas Civale is a Physical Therapist in Private Practice in Irving, Texas. Qualified in 2017, 9 years ago. Practices with Evolution Physical Therapy LLC, a 9-clinician group. Licensed in Connecticut.

Years since qualifying
9
Licensed in
CT
In the registry since
2019
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Practice location Address checks out

5001 Statesman Dr
Irving, TX 75063-2414
Phone: (469) 524-1506
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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 011659 (CT)

Record details

NPI number1356808463
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 25, 2019
Last updated in NPPESFebruary 25, 2019
Mailing address129 Greenwoods Ln, East Windsor, CT 06088-9692

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Evolution Physical Therapy Llc — 9 clinicians
Accepts Medicare assignment Not indicated

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