Christopher John Tucker, DO
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Grapevine, TX
NPI 1104822659 · NPPES record last updated Apr 27, 2020
Key facts
- NPI
- 1104822659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- J2823 (TX)
- Practice address
- 2535 Ira E Woods Avenue
Grapevine, TX 76051-3930 - Phone
- (817) 481-2121
- Fax
- (817) 488-4493
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Michigan State University College of Osteopathic Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthotx PLLC
Practice addresses (Care Compare)
2535 Ira E Woods Ave
100 N Texas Ortho
Grapevine, TX 76051-3930
Phone (817) 221-0084
800 Orthopedic Way
Dba Arlington Ortho
Arlington, TX 76015-1629
Phone (817) 375-5200
Hospital & facility affiliations
- Baylor Medical Center at Trophy Club
- Texas Health Harris Methodist Hospital Southlake
- Texas Health Harris Methodist Hurst-Euless-Bedford
- Baptist Medical Center
- Baylor Scott & White Medical Center Grapevine
- Baylor Institute for Rehabilitation at Frisco
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.54 of 100
- Quality
- 92.07
- Promoting interoperability
- 83
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080506000599 | TX | Practitioner - Physical Medicine and Rehabilitation |
3274612080 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2823 | TX | MD | Physical Medicine & Rehabilitation Physician |
| J2828 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthotx, PLLC | Current |
Accepting new patients | |
| Nto Physician Partners, PLLC | Current |
Accepting new patients | |
| Orthotx, PLLC | Current |
Accepting new patients | |
| Nto Physician Partners, PLLC | Current |
Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
701 Highlander Blvd
#370
Arlington, TX 76015
800 Orthopedic Way
Arlington, TX 76015
Phone (817) 375-5375
4501 Heritage Trace Pkwy
#101N
Fort Worth, TX 76244
Phone (817) 481-2121
4501 Heritage Trace Pkwy
Ste 101
Fort Worth, TX 76244
Phone (817) 221-0084
2535 Ira E Woods Ave
#100
Grapevine, TX 76051
Phone (817) 221-0084
2535 Ira E Woods Ave
Grapevine, TX 76051
Phone (817) 481-2121
2535 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 481-2121
2423 W Airport Fwy
Irving, TX 75062
Phone (817) 375-5312
1441 S Midlothian Pkwy
Ste 130
Midlothian, TX 76065
Interoperability endpoints
- ctucker458064@direct.sw.org
- christopher.tucker.1@18148.direct.athenahealth.com
- christopher.tucker.1@20300.direct.athenahealth.com
- christopher.tucker.2@15749.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | J2823 | TX | Yes |
| Physical Medicine & Rehabilitation Physician | 208100000X | J2828 | TX | |
| Pain Medicine Physician | 208VP0000X | J2823 | TX |
Addresses
Primary practice location
2535 Ira E Woods Avenue
Grapevine, TX 76051-3930
Mailing address
2535 Ira E Woods Avenue
Grapevine, TX 76051-3930
Phone (817) 481-2121
Other practice location 1
4501 Heritage Trace Parkway, Suite 101
Fort Worth, TX 76244-8940
Phone (817) 481-2121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098913901 | Medicaid | TX | |
| 82X724 | Other | TX | BLUE CROSS BLUE SHIELD |
Other providers in Grapevine, TX
- Triwest Specialty Pharmacy LP
- Brooks P Trotter
- Dency Troy
- Truecare Home Services, LLC.
- Trueform Imaging and Wellness LLC
- Megan Noelle Tucker
- Bryan P. Tunink
- Amber Kiara Tyler
- Chigozie Udechukwu
- Union Care LLC
All providers in Grapevine, TX · Physical Medicine & Rehabilitation Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2020. 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.
- Order and Referring (CMS).
- 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.