Active NPI
Diamond Danielle Lockhart
- Physical Therapist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1351191
- Practice address
- 3690 W Wheatland Rd # 100
Dallas, TX 75237-3462 - Phone
- (972) 296-6645
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3127158 | TX | |
| Physical Therapist | 225100000X | 1351191 | TX | Primary |
Addresses
Primary practice location
3690 W Wheatland Rd # 100
Dallas, TX 75237-3462
Mailing address
3690 W Wheatland Rd # 100
Dallas, TX 75237-3462
Phone (972) 296-6645
Other practice location 1
309 E Ovilla Rd
Red Oak, TX 75154-3814
Phone (469) 231-8179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6080 N Central Expy
Dallas, TX 75206-5202
Phone (972) 845-7875
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3127158 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| One Rehab | Physical Therapist | Current | Accepting new patients |
| Crossroads Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
Locations
3690 W Wheatland Rd
Ste 100
Dallas, TX 75237
Phone (972) 296-6645
3690 W Wheatland Rd
Ste 10
Dallas, TX 75237
Phone (972) 296-6645
6080 N Central Expy
Dallas, TX 75206
Phone (469) 646-0366
3824 S Carrier Pkwy
Ste 490
Grand Prairie, TX 75052
Phone (972) 262-9972
1761 International Pkwy
Ste 135
Richardson, TX 75081
Phone (972) 757-8684
Organizations & group practices 4
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.
-
- Physical Therapist
- Dallas, TX
- NPI 1558306399
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Physical Therapist
- Burleson, TX
- NPI 1083923916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1043887086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3690 W WHEATLAND RD # 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373462",
"telephone_number": "972-296-6645",
"fax_number": "972-296-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 W WHEATLAND RD # 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373462",
"telephone_number": "972-296-6645"
}
],
"practiceLocations": [
{
"address_1": "309 E Ovilla Rd",
"address_purpose": "LOCATION",
"city": "Red Oak",
"state": "TX",
"postal_code": "751543814",
"country_code": "US",
"telephone_number": "469-231-8179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOCKHART",
"first_name": "DIAMOND",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3127158",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1351191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.