Core Physical Therapy Keller
Core Physical Therapy Keller is a healthcare organization registered as Physical Therapy Clinic/Center in Keller, TX, holding Type 2 (organization) NPI 1164172912 since 2022. The authorized official on file is Nicole Tate, Credentialing.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1164172912 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Core Physical Therapy Keller |
| Parent organization | Castle Surgical Management LLC |
| Practice address | 601 S MAIN ST STE 105, Keller, TX, 76248 |
| Phone | 5015808352 |
| Enumeration date | 2022-03-25 |
| Last updated in NPPES | 2022-03-25 |
Authorized official
| Name | Nicole Tate |
|---|---|
| Title | Credentialing |
| Phone | 8172006492 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | Secondary | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | Secondary | — | — |
| 261QR0200X | Radiology Clinic/Center | Secondary | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Core Physical Therapy Keller NPI: 1164172912 Taxonomy: 261QP2000X (Physical Therapy Clinic/Center) Address: 601 S MAIN ST STE 105, Keller, TX, 76248
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720553423 | Corey Tucker | Individual | Physical Therapy Assistant | Keller, TX |
Verify this record
Cross-check NPI 1164172912 against the authoritative CMS record: view Core Physical Therapy Keller on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Core Physical Therapy Keller?
Who is the authorized official for Core Physical Therapy Keller?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-03-25.