Individual provider Active NPI

Devyn Taylor Phalen, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1043748700
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1289839 Issued in TX
Practice address
311 W Nottingham Dr
San Antonio, TX 78209-1887
Phone
(210) 824-2314
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 1289839 TX Primary

Addresses

Primary practice location

311 W Nottingham Dr
San Antonio, TX 78209-1887

Mailing address

6974 Oak Dr Apt 2105
San Antonio, TX 78256-4417
Phone (210) 577-9642

Other practice location 1

7616 Lyndon B Johnson Fwy
Dallas, TX 75251-1100
Phone (214) 960-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1289839TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043748700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6974 OAK DR APT 2105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782564417",
            "telephone_number": "210-577-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W NOTTINGHAM DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091887",
            "telephone_number": "210-824-2314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7616 Lyndon B Johnson Fwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752511100",
            "country_code": "US",
            "telephone_number": "214-960-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHALEN",
        "first_name": "DEVYN",
        "middle_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1289839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.