Summer Nicholson, in Jbsa Lackland, TX - Medicare Physical Therapist In Private Practice Provider

Summer Nicholson, is a medicare enrolled "Physical Therapist" provider in Jbsa Lackland, Texas. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Ortholonestar Pllc and her current practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 292-6255.

Summer Nicholson is licensed to practice in Texas (license number 1397582) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255179628.

Contact Information

	Summer Nicholson,
	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638
	(210) 292-6255
	(210) 292-7934

Map and Direction

Healthcare Provider's Profile

Full Name	Summer Nicholson
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	2 Years
Location	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Summer Nicholson graduated from medical school in 2024

NPI Data:

NPI Number: 1255179628
Provider Enumeration Date: 07/18/2024
Last Update Date: 04/15/2026

Medicare PECOS Information:

PECOS PAC ID: 1153862099
Enrollment ID: I20240919001035

Medical Identifiers

Medical identifiers for Summer Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255179628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1397582 (Texas)	Primary
225100000X	Physical Therapist	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ortholonestar Pllc	9931529062	417

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Summer Nicholson allows following entities to bill medicare on her behalf.

Provider Name	Baylor College Of Medicine
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972

Provider Name	Texas Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076

Provider Name	Ortholonestar Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942860176 PECOS PAC ID: 9931529062 Enrollment ID: O20201012001450

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Summer Nicholson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Summer Nicholson, 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255	Summer Nicholson, 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255

Reviews and Comments

Physical Therapist in Jbsa Lackland, TX

Dr. Jared Philip Bueche, PT, DPT, OCS, FAAOMP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5040
Gillian Marie Harper, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5040
Dr. Kassidy M Kusak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-566-9995
Mr. Jeremiah Yanga Samson, PT, MSPT, OCS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5040
Allison Shea Gonzales, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934
Kyle Petrey, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 847-274-2794

Summer Nicholson, - Medicare Physical Therapist in Jbsa Lackland, TX