Active NPI
Harrison E Whittaker
- Physical Therapist
- Rowlett, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1347052
- Practice address
- 3005 Lakeview Pkwy Ste 400
Rowlett, TX 75088-3320 - Phone
- (972) 979-6577
- NPI assigned
- Jun 28, 2021
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 1347052 | TX | Primary |
Addresses
Primary practice location
3005 Lakeview Pkwy Ste 400
Rowlett, TX 75088-3320
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (803) 812-3656
Other practice location 1
6333 E Mockingbird Ln Ste 139
Dallas, TX 75214-2376
Phone (469) 872-7473
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Elm St
Suite 121
Dallas, TX 75270-2014
Phone (469) 620-5070
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 |
|---|---|---|---|
| 1347052 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995
9291 Garland Rd
Ste 110
Dallas, TX 75218
Phone (972) 892-4541
1201 Elm St
Ste 121
Dallas, TX 75270
Phone (469) 620-5070
6333 E Mockingbird Ln
Ste 139
Dallas, TX 75214
Phone (469) 782-7786
4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318
3005 Lakeview Pkwy
Ste 400
Rowlett, TX 75088
Phone (214) 607-9304
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
809 Woodbridge Pkwy
Ste 200
Wylie, TX 75098
Phone (469) 299-5803
Organizations & group practices 4
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.
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- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1285204859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "803-812-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 LAKEVIEW PKWY STE 400",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750883320",
"telephone_number": "972-979-6577"
}
],
"practiceLocations": [
{
"address_1": "6333 E Mockingbird Ln Ste 139",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752142376",
"country_code": "US",
"telephone_number": "469-872-7473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTAKER",
"first_name": "HARRISON",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-28",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1347052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.