Individual provider Active NPI

Diamond Danielle Lockhart

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1043887086
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1351191 Issued in TX
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

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210922002717 TX Practitioner - Physical Therapist in Private Practice 6800293580 Reassigns benefits to 3 organizations

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
One RehabGroup PAC ID 7618208752, 23 clinicians

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

LicenseStateTypeSpecialty
3127158TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 15, 2021 Accepting new patients
One Rehab Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Crossroads Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 15, 2021 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.

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.

Verify at the official NPI Registry.