SIDNEY CAMILLE PARKER (PT, DPT) – Physical Therapist, NPI 1174277255

SIDNEY CAMILLE PARKER (PT, DPT) is a healthcare provider. based in Stephenville, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1357117 (TX). The NPI Number for SIDNEY CAMILLE PARKER (PT, DPT) is 1174277255

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SIDNEY CAMILLE PARKER (PT, DPT)
NPI
1174277255
Phone
(254) 965-2040
Address
2269 NORTHWEST LOOP
Enumeration Date
8 February 2022
Last Update Date
8 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2544315100
Graduation Year
2021 (5 years ago)
PAC ID
8426442492
Group Practice PAC ID
8729466552
Professional Enrollment ID
I20220308003105
Address ID
TX764013734ST2900XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for SIDNEY CAMILLE PARKER (PT, DPT)

  • 2269 NORTHWEST LOOP

    STEPHENVILLE, TX 764011701

    Phone: (254) 965-2040

    Fax: (254) 965-7394

    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: 2022-03-08

PECOS data refreshed: 2026-05-27

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
I20220308003105IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,696126$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,162112$0
97530Therapy procedure using functional activities1,116112$0
97140Therapy procedure using manual technique, each 15 minutes39751$0
97150Therapy procedure in a group setting21566$0
View full utilization report →

Insurance plans in this area (ZIP 76401)

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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: 8729466552View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to SIDNEY CAMILLE PARKER (PT, DPT)?
NPI 1174277255 is assigned to SIDNEY CAMILLE PARKER (PT, DPT) under the national enumeration system.
Is SIDNEY CAMILLE PARKER (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SIDNEY CAMILLE PARKER (PT, DPT)?
The page reflects Physical Therapist for SIDNEY CAMILLE PARKER (PT, DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for SIDNEY CAMILLE PARKER (PT, DPT)?
The page summarizes Stephenville, Texas for SIDNEY CAMILLE PARKER (PT, DPT); expand the address list for detail.
Is SIDNEY CAMILLE PARKER (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1174277255. Always confirm identity and privileges with the practice and licensing boards.

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