Active NPI
Tryon Fields, PT
- Physical Therapy Clinic/Center
- San Angelo, TX
National Provider Identifier
1326421066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1262617
- Practice address
- 4105 S Chadbourne St
San Angelo, TX 76904-9152 - Phone
- (619) 547-7039
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- 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 Therapist | 225100000X | 3118188 | TX | |
| Physical Therapy Clinic/Center | 261QP2000X | 1262617 | TX | Primary |
Addresses
Primary practice location
4105 S Chadbourne St
San Angelo, TX 76904-9152
Mailing address
12381 S US Highway 277
San Angelo, TX 76904-4498
Phone (619) 547-7039
Other practice location 1
3875 E Southcross Blvd Ste B
San Antonio, TX 78222-3521
Phone (210) 337-7953
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3118188 | TX | MD | Physical Therapist |
| 1262617 | TX | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelo Sports Performance and Rehab LLC | Physical Therapy | Current | Accepting new patients |
Locations
4105 S Chadbourne St
San Angelo, TX 76904
Phone (325) 213-2240
Organizations & group practices 1
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 Therapy Clinic/Center
- San Angelo, TX
- NPI 1629792809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1326421066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12381 S US HIGHWAY 277",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769044498",
"telephone_number": "619-547-7039",
"fax_number": "325-225-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 S CHADBOURNE ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769049152",
"telephone_number": "619-547-7039"
}
],
"practiceLocations": [
{
"address_1": "3875 E Southcross Blvd Ste B",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782223521",
"country_code": "US",
"telephone_number": "210-337-7953",
"fax_number": "210-337-7966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIELDS",
"first_name": "TRYON",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3118188",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": "1262617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.