Individual provider Active NPI

Tryon Fields, PT

  • Physical Therapy Clinic/Center
  • San Angelo, TX
National Provider Identifier
1326421066
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1262617 Issued in TX
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

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3118188TXMDPhysical Therapist
1262617TXMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Angelo Sports Performance and Rehab LLC Physical Therapy CurrentSince Oct 9, 2022 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.

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.

Verify at the official NPI Registry.