Active NPI
Rauna Dallman, PT
- Physical Therapist
- Coppell, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1233793
- Practice address
- 230 N Denton Tap Rd Ste 104
Coppell, TX 75019-2135 - Phone
- (801) 310-4752
- NPI assigned
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1233793 | TX | |
| Physical Therapist | 225100000X | 1233793 | TX | Primary |
Addresses
Primary practice location
230 N Denton Tap Rd Ste 104
Coppell, TX 75019-2135
Mailing address
208 Olympia LN
Coppell, TX 75019-5070
Phone (801) 310-4752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175
230 N Denton Tap Rd
Suite 104
Coppell, TX 75019-2135
Phone (469) 702-5972
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1233793 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Single Specialty | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Texas Luna Care Physical Therapy LLC | Single Specialty | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995
230 N Denton Tap Rd
Ste 104
Coppell, TX 75019
Phone (469) 702-5972
125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
Organizations & group practices 3
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.
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
Single Specialty, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1245002245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 OLYMPIA LN",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195070",
"telephone_number": "801-310-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N DENTON TAP RD STE 104",
"city": "COPPELL",
"state": "TX",
"postal_code": "750192135",
"telephone_number": "801-310-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLMAN",
"first_name": "RAUNA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-24",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "1233793",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1233793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.