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

Tayla L Nicholas, PT

Individual provider Physical Therapist · NPI 1609068287

Tayla L Nicholas, PT is a Physical Therapist in Private Practice in Waco, Texas. Qualified in 2000, 26 years ago. Licensed in Texas.

Years since qualifying
26
Licensed in
TX
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6610 Interstate 35 N
Waco, TX 76705-1136
Phone: (254) 235-7604
Fax: (254) 235-7612
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1136513 (TX)

Record details

NPI number1609068287
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 16, 2007
Last updated in NPPESAugust 30, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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