Dwayne Kicklighter, PT
NPI 1679166904 · Physical Therapist · Dallas, TX
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dwayne Kicklighter, PT is a Physical Therapist provider in Dallas, TX (NPI 1679166904).
Provider details
- NPI number
- 1679166904
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 1178660 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,369 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,226 | $20 |
| Therapy Procedure for Walking Training, Each 15 Minutes97116 | 1,022 | $20 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 676 | $27 |
| Therapy Procedure Using Functional Activities97530 | 296 | $32 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 101 | $18 |
| Test Or Measurement for Functional Capacity, Each 15 Minutes97750 | 48 | $28 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-02-17
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Frequently asked questions
- What is Dwayne Kicklighter's NPI number?
- Dwayne Kicklighter's National Provider Identifier (NPI) is 1679166904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dwayne Kicklighter's specialty?
- Dwayne Kicklighter is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Dwayne Kicklighter located?
- Dwayne Kicklighter's practice location on file with NPPES is 7831 Park Ln, Dallas, TX 75225-2000.
- What is Dwayne Kicklighter's phone number?
- The practice phone number listed in the NPPES registry for Dwayne Kicklighter is (214) 369-9905.
- Does Dwayne Kicklighter accept Medicare?
- Dwayne Kicklighter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dwayne Kicklighter's NPI active?
- Yes — Dwayne Kicklighter's NPI (1679166904) is active in the NPPES registry as of the last update on 2025-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.