Individual provider Active NPI

David Burton Tate, PT, DPT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1154062651
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP11272T Issued in TX
Practice address
5800 Granite Pkwy Ste 1000
Plano, TX 75024-6619
Phone
(972) 890-9095
NPI assigned
Apr 6, 2022
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 119898-2401 UT
Physical Therapist 225100000X CP11272T TX Primary

Addresses

Primary practice location

5800 Granite Pkwy Ste 1000
Plano, TX 75024-6619

Mailing address

2529 W 11170 S
South Jordan, UT 84095-2713
Phone (801) 599-2610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603001135 TX Practitioner - Physical Therapist in Private Practice 4082091079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP11272TTXMDPhysical Therapist
119898-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Pro Rehab LLC Physical Therapist CurrentSince Apr 24, 2022 Accepting new patients

Locations

5800 Granite Pkwy
Ste 1000
Plano, TX 75024
Phone (866) 422-5051

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1154062651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 W 11170 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952713",
            "telephone_number": "801-599-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 GRANITE PKWY STE 1000",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246619",
            "telephone_number": "972-890-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "DAVID",
        "middle_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "119898-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP11272T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.