Individual provider Active NPI

Sahil Devan Gopal, DPT

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1154078244
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1358245 Issued in TX
Practice address
701 Tuscan Dr Ste 240
Irving, TX 75039-4125
Phone
(972) 979-6577
Fax
(972) 979-6951
NPI assigned
Mar 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 1358245 TX Primary

Addresses

Primary practice location

701 Tuscan Dr Ste 240
Irving, TX 75039-4125

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

9410 State Highway 151 Ste 104
San Antonio, TX 78251-4784
Phone (210) 419-8379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220330001158 TX Practitioner - Physical Therapist in Private Practice 5294121364 Reassigns benefits to 2 organizations
I20260305002817 IL Practitioner - Physical Therapist in Private Practice 5294121364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Rehabilitation Group IncGroup PAC ID 8921148602, 53 clinicians

Practice addresses (Care Compare)

1567 Deerfield Pkwy
Buffalo Grove, IL 60089-2653
Phone (847) 520-9038

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Apr 29, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

790 Remington Blvd
Bolingbrook, IL 60440

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

701 Tuscan Dr
Ste 240
Irving, TX 75039
Phone (214) 272-8820

3351 Regent Blvd
Ste 140A
Irving, TX 75063
Phone (214) 774-2995

9410 State Highway 151
Ste 104
San Antonio, TX 78251
Phone (210) 419-8379

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 5

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1154078244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TUSCAN DR STE 240",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394125",
            "telephone_number": "972-979-6577",
            "fax_number": "972-979-6951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9410 State Highway 151 Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514784",
            "country_code": "US",
            "telephone_number": "210-419-8379",
            "fax_number": "210-319-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "SAHIL",
        "middle_name": "DEVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-08",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1358245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.