ANDRE DION WHITLEY II
NPI 1932032778
Physical Therapist in Fort Worth, TX

Active since June 03, 2026
5750 W VICKERY BLVD STE 110, FORT WORTH, TX 76107(682) 382-4070 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Jun 3, 2026 (2 updates tracked since 2026).

About Andre Dion Whitley Ii NPPES

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

ANDRE DION WHITLEY II (NPI 1932032778) is an individual physical therapist in Fort Worth, Texas, licensed in Missouri (2026022382) and active in the NPI registry since June 2026. He maintains a secondary practice location in Saint Louis and is a graduate of University Of Missouri, Columbia School Of Medicine (2026).

NPPES Registry Identity

NPI1932032778
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameANDRE DION WHITLEY II
Location Address5750 W VICKERY BLVD STE 110Fort Worth, TX 76107-7448
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 238-7217
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2026
Enumeration DateJune 3, 2026
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1932032778 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
Licenses✔ Licensed in MO · 2026022382✔ Licensed in TX · CP059525T
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.
5750 W VICKERY BLVD STE 110, Fort Worth, TX 76107

Secondary Practice Location 1

Location 1555 N New Ballas Rd Ste 225Saint Louis, MO 63141-6886 · Phone (314) 997-8700

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andre Dion Whitley Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012472905
PECOS Enrollment IDI20260721004299

Medicare Billing Reassignments

2

Medicare enrollment records show Andre Whitley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
1000 N PRESTON RD STE 50
Prosper, TX 75078
  • Reassigned Medicare billing, Texas enrollment
  • 283 clinicians in this Medicare group
Physical Therapy
2177 NORTHPOINT BLVD STE 101
Hixson, TN 37343
  • Reassigned Medicare billing, Texas enrollment
  • 343 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

Physical Therapist
5750 W VICKERY BLVD STE 110
FORT WORTH, TX 76107
Pharmacy (Community/Retail Pharmacy)
5750 W VICKERY BLVD STE 110
FORT WORTH, TX 76107
Physical Therapist
5750 W VICKERY BLVD STE 110
FORT WORTH, TX 76107
Physical Therapist
5750 W VICKERY BLVD STE 110
FORT WORTH, TX 76107
Physical Therapist
5750 W VICKERY BLVD STE 110
FT WORTH, TX 76107
Physical Therapist
5750 W VICKERY BLVD STE 110
FORT WORTH, TX 76107
Physical Therapist
5750 W VICKERY BLVD STE 110
FORT WORTH, TX 76107
Physical Therapist
5750 W VICKERY BLVD STE 110
FORT WORTH, TX 76107

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 Andre Whitley's NPI number?

The NPI number for Andre Whitley is 1932032778. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Andre Whitley located?

Andre Whitley practices at 5750 W Vickery Blvd Ste 110, Fort Worth, TX 76107. The listed phone number is (682) 382-4070.

What is Andre Whitley's specialty?

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

Is Andre Whitley enrolled in Medicare?

Yes. Andre Whitley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andre Whitley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Whitley reassigns Medicare benefits to 2 organizations: Peak Physical Therapy, LLC (Prosper, TX) and Agilitas Usa Inc (Hixson, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andre Whitley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andre Whitley was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.