Active NPI
Tara Lynne Dean
- Physical Therapist
- Denton, TX
National Provider Identifier
1164688453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1182473
- Practice address
- 534 N Elm St
Denton, TX 76201-4114 - Phone
- (940) 566-5714
- Fax
- (940) 381-0157
- NPI assigned
- Aug 6, 2008
- Last updated
- May 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1182473 | TX | Primary |
Addresses
Primary practice location
534 N Elm St
Denton, TX 76201-4114
Mailing address
534 N. Elm St.
Denton, TX 76201-4114
Phone (940) 566-5714
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00935327 | Other | TX | RAILROAD MEDICARE |
| 854T73 | Other | TX | BC/BS TX - EFFECT 02/01/2011 |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrocrest Orthopaedics & Sports Medicine | Past | Accepting new patients | |
| Denton Sports & Physical Therapy | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Denton, TX
- NPI 1730159468
-
- Specialist
- Carrollton, TX
- NPI 1710030374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1164688453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 N. ELM ST.",
"city": "DENTON",
"state": "TX",
"postal_code": "762014114",
"telephone_number": "940-566-5714",
"fax_number": "940-381-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 N ELM ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762014114",
"telephone_number": "940-566-5714",
"fax_number": "940-381-0157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "TARA",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1182473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00935327",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS TX - EFFECT 02/01/2011",
"identifier": "854T73",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.