Individual provider Active NPI

Gayle Talley, PT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1013308915
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1130623 Issued in TX
Practice address
7709 San Jacinto PL # 203
Plano, TX 75024-3215
Phone
(469) 331-0030
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1130623 TX Primary

Addresses

Primary practice location

7709 San Jacinto PL # 203
Plano, TX 75024-3215

Mailing address

3402 Barberry Dr
Wylie, TX 75098-8562
Phone (214) 477-5231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150312001137 TX Practitioner - Physical Therapist in Private Practice 2860718756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1130623TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheelchair Clinic Inc Physical Therapist CurrentSince May 5, 2024 Accepting new patients

Locations

4557 S Western St
Ste B4
Amarillo, TX 79109
Phone (801) 440-5592

2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1013308915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 BARBERRY DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988562",
            "telephone_number": "214-477-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 SAN JACINTO PL # 203",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243215",
            "telephone_number": "469-331-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "GAYLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1130623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.