MRS. DEBORAH TUCKEY NYSTROM (LPT) – Physical Therapist, NPI 1154866119

MRS. DEBORAH TUCKEY NYSTROM (LPT) is a healthcare provider. based in Arlington, Texas. specializing in Physical Therapist. They hold the professional credentials LPT. They hold a License No. 1035228 (CO). The NPI Number for MRS. DEBORAH TUCKEY NYSTROM (LPT) is 1154866119

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DEBORAH TUCKEY NYSTROM (LPT)
NPI
1154866119
Phone
(817) 466-7276
Address
2310 WEST I-20
Enumeration Date
30 December 2016
Last Update Date
30 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174667276
Graduation Year
1982 (44 years ago)
PAC ID
5890077853
Group Practice PAC ID
2668428681
Professional Enrollment ID
I20170126002446
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for MRS. DEBORAH TUCKEY NYSTROM (LPT)

  • 2310 WEST I-20

    SUITE 204

    ARLINGTON, TX 76017

    Phone: (817) 466-7276

    Fax: (817) 466-7286

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170126002446IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes46550$0
97140Therapy procedure using manual technique, each 15 minutes19438$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care19039$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3413$0
View full utilization report →

Insurance plans in this area (ZIP 76017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668428681View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. DEBORAH TUCKEY NYSTROM (LPT)'s NPI?
Yes. MRS. DEBORAH TUCKEY NYSTROM (LPT) is listed with NPI 1154866119 in the public NPI dataset.
Does CMS list MRS. DEBORAH TUCKEY NYSTROM (LPT) as active?
Yes — MRS. DEBORAH TUCKEY NYSTROM (LPT) is active in the NPI listing used on this page.
What taxonomy line describes MRS. DEBORAH TUCKEY NYSTROM (LPT)?
For research purposes, treat MRS. DEBORAH TUCKEY NYSTROM (LPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. DEBORAH TUCKEY NYSTROM (LPT) based?
MRS. DEBORAH TUCKEY NYSTROM (LPT) is tied to Arlington, Texas in the data we show; additional addresses may exist on the full record.
Why does MRS. DEBORAH TUCKEY NYSTROM (LPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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