Individual provider Active NPI

Damon Will Meekins, PT

  • Physical Therapist
  • Coppell, TX
National Provider Identifier
1063925204
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1135382 Issued in TX
Practice address
543 Forest Hill Dr
Coppell, TX 75019-6635
Phone
(972) 906-5990
Fax
(972) 906-5990
NPI assigned
Nov 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1135382 TX
Physical Therapist 225100000X 1135382 TX Primary

Addresses

Primary practice location

543 Forest Hill Dr
Coppell, TX 75019-6635

Mailing address

543 Forest Hill Dr
Coppell, TX 75019-6635
Phone (972) 906-5990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124000604 TX Practitioner - Physical Therapist in Private Practice 6507125341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3535 N Hall St
Dallas, TX 75219-5416
Phone (469) 392-4960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Dec 28, 2017 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Dec 28, 2017 Accepting new patients

Locations

8100 Precinct Line Rd
Colleyville, TX 76034
Phone (682) 244-4317

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1063925204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 FOREST HILL DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196635",
            "telephone_number": "972-906-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 FOREST HILL DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196635",
            "telephone_number": "972-906-5990",
            "fax_number": "972-906-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKINS",
        "first_name": "DAMON",
        "middle_name": "WILL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1135382",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1135382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.