Individual provider Active NPI

John Earls, PT, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1104379957
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0120310 Issued in VT
Practice address
2812 Vine St Ste 300
Dallas, TX 75204-4091
Phone
(469) 626-7254
NPI assigned
Jul 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 040.0120310 VT Primary

Addresses

Primary practice location

2812 Vine St Ste 300
Dallas, TX 75204-4091

Mailing address

1408 N Riverfront Blvd # 211
Dallas, TX 75207-3912
Phone (802) 505-5013

Other practice location 1

74 Vt Route 15
Jericho, VT 05465-3011
Phone (802) 505-5013

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1104379957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N RIVERFRONT BLVD # 211",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752073912",
            "telephone_number": "802-505-5013",
            "fax_number": "214-237-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 VINE ST STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044091",
            "telephone_number": "469-626-7254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Vt Route 15",
            "address_purpose": "LOCATION",
            "city": "Jericho",
            "state": "VT",
            "postal_code": "054653011",
            "country_code": "US",
            "telephone_number": "802-505-5013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLS",
        "first_name": "JOHN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0120310",
            "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 Sep 27, 2018; 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.