Jill Toups Fawcett, P.T.
Individual provider Active NPI Physical Therapist · Dallas, TX
NPI 1104012202 · NPPES record last updated Sep 21, 2007
Key facts
- NPI
- 1104012202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1135549 (TX)
- Practice address
- 4408 Hanover St
Dallas, TX 75225-6750 - Phone
- (214) 691-1717
- Fax
- (214) 691-2275
- NPI assigned
- Sep 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
5535 W Lovers LN
Dallas, TX 75209-4219
Phone (214) 329-9399
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040602001418 | TX | Practitioner - Physical Therapist in Private Practice | 3173505252 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current |
Accepting new patients |
| Doctx3 PLLC | Current |
Accepting new patients | |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current |
Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Doctx3 PLLC | Current |
Accepting new patients | |
| Active Rehabilitation Inc | Physical Therapist | Past |
Accepting new patients |
| Active Rehabilitation | Past |
Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510
709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995
5535 W Lovers Ln
Dallas, TX 75209
Phone (214) 329-9399
5510 Abrams Rd
Ste 115
Dallas, TX 75214
Phone (214) 265-9700
6333 E Mockingbird Ln
Ste 139
Dallas, TX 75214
Phone (469) 782-7786
9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647
125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318
3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558
4709 W Parker Rd
Ste 460
Plano, TX 75093
Phone (469) 440-5420
Interoperability endpoints
- jill.fawcett.1@15533.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1135549 | TX | Yes |
Addresses
Primary practice location
4408 Hanover St
Dallas, TX 75225-6750
Mailing address
4408 Hanover St
Dallas, TX 75225-6750
Phone (214) 691-1717
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.