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

Summer Nicholson

Individual provider Physical Therapist · NPI 1255179628

Summer Nicholson is a Physical Therapist in Private Practice in Jbsa Lackland, Texas. Qualified in 2024, 2 years ago. Practices with Ortholonestar PLLC, a 415-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-6255
Fax: (210) 292-7934
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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 1397582 (TX)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1255179628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jbsa Lackland