P Praxis·MD
● Active Type 1 · Individual

DR. Nicholas A Detrick, DPT

Physical Therapist·Jbsa Lackland, TX· NPI 1306360797 · Enumerated 2017 · 8 years on NPI
Detrick is 1 of 23 physical therapist providers in Jbsa Lackland and 1 of 16582 in Texas.
NPI age
8 years
Enumerated 2017-07-28
Primary specialty
Physical Therapist
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 16582 active physical therapist providers in Texas.

NPI age
8 years
≈ at median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102927395
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102927395

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    CA license #293415 taxonomy 225100000X

Identifiers

TypeValueNotes
01 1306360797 NPI

Practice context

Part of a multi-provider practice. 307 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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