Individual provider Active NPI

Patricio Elias, PT, DPT

  • Physical Therapist
  • Keller, TX
National Provider Identifier
1144159039
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1408253 Issued in TX
Practice address
651 S Main St
Keller, TX 76248-7038
Phone
(817) 898-7090
NPI assigned
May 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 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 1408253 TX Primary

Addresses

Primary practice location

651 S Main St
Keller, TX 76248-7038

Mailing address

404 Pedmore Dr
Coppell, TX 75019-7539
Phone (817) 898-7090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260611003445 TX Practitioner - Physical Therapist in Private Practice 0345712287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riata Therapy Specialists LLCGroup PAC ID 9234181199, 18 clinicians

Practice addresses (Care Compare)

2550 Bobcat Blvd
Suite 109
Trophy Club, TX 76262-5135
Phone (682) 237-8276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1408253TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Riata Therapy Specialists LLC Physical Therapist CurrentSince May 19, 2026 Accepting new patients

Locations

821 E Northwest Hwy
Ste 300
Grapevine, TX 76051
Phone (817) 203-8555

2550 Bobcat Blvd
Ste 109
Trophy Club, TX 76262
Phone (682) 237-8276

Organizations & group practices 1

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": "1778889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1144159039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 PEDMORE DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197539",
            "telephone_number": "817-898-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S MAIN ST",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487038",
            "telephone_number": "817-898-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "PATRICIO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1408253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.