DR. NICHOLAS A DETRICK DPT
NPI 1306360797
Physical Therapist in Jbsa Lackland, TX

Active since July 28, 2017
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(210) 292-7395 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2022, Dec 6, 2021, Sep 19, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Nicholas A Detrick Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS A DETRICK DPT (NPI 1306360797) is an individual physical therapist in Jbsa Lackland, Texas, licensed in California (293415) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1306360797
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. NICHOLAS A DETRICKCredential: DPT
Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · (210) 292-7395
Sole ProprietorNo
Enumeration DateJuly 28, 2017
Last NPPES UpdateJuly 18, 20224 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
NPI 1306360797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · 293415
Definition
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 to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236

Other Identifiers 1

Other1306360797Npi

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Marriage & Family Therapist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Allergy & Immunology
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pharmacist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Optometrist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Detrick's NPI number?

The NPI number for Nicholas Detrick is 1306360797. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Where is Nicholas Detrick located?

Nicholas Detrick practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-7395.

What is Nicholas Detrick's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Nicholas Detrick was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.