Individual provider Active NPI

Tate Thrash, PT

  • Physical Therapist
  • Amarillo, TX
National Provider Identifier
1053421792
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1911 Port LN Ste a
Amarillo, TX 79106-2471
Phone
(806) 381-3545
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 Primary

Addresses

Primary practice location

1911 Port LN Ste a
Amarillo, TX 79106-2471

Mailing address

PO Box 168
Bushland, TX 79012-0168
Phone (806) 353-0206

Other identifiers 1

IdentifierTypeStateIssuer
1071363OtherTXLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221021000145 TX Practitioner - Physical Therapist in Private Practice 4688040397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neill Contract Therapy ServicesGroup PAC ID 2860784550, 4 clinicians

Practice addresses (Care Compare)

8501 SW 34TH Ave
Suite 300
Amarillo, TX 79121-1064
Phone (806) 803-9165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Polster Delong McKinney Group, LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Neill Contract Therapy Services Physical Therapist CurrentSince Dec 3, 2025 Accepting new patients

Locations

3501 S Soncy Rd
Ste 137
Amarillo, TX 79119
Phone (806) 322-5438

8501 SW 34th Ave
Unit 300
Amarillo, TX 79121
Phone (806) 803-9165

1911 Port Ln
Ste A
Amarillo, TX 79106
Phone (806) 381-3545

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1053421792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "BUSHLAND",
            "state": "TX",
            "postal_code": "790120168",
            "telephone_number": "806-353-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 PORT LN STE A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062471",
            "telephone_number": "806-381-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASH",
        "first_name": "TATE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "1071363",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.