Individual provider Active NPI

Tandy N Featherston Hagar, PT

  • Physical Therapist
  • Rockwall, TX
National Provider Identifier
1063734408
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1158950 Issued in TX
Practice address
2455 Ridge Rd Ste 255
Rockwall, TX 75087-5534
Phone
(466) 698-7719
Fax
(214) 867-5470
NPI assigned
Feb 26, 2010
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 1158950 TX Primary

Addresses

Primary practice location

2455 Ridge Rd Ste 255
Rockwall, TX 75087-5534

Mailing address

2455 Ridge Rd Ste 255
Rockwall, TX 75087-5534
Phone (469) 698-7719

Other identifiers 1

IdentifierTypeStateIssuer
1158950OtherTXPT OT BOARD

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
1158950TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1063734408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 RIDGE RD STE 255",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875534",
            "telephone_number": "469-698-7719",
            "fax_number": "214-867-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 RIDGE RD STE 255",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875534",
            "telephone_number": "466-698-7719",
            "fax_number": "214-867-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEATHERSTON HAGAR",
        "first_name": "TANDY",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1158950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT OT BOARD",
            "identifier": "1158950",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.