Active NPI
Duan Yi Fang
- Physical Therapist
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1356223
- Practice address
- 1400 Preston Rd Ste 300
Plano, TX 75093-3603 - Phone
- (972) 430-6889
- NPI assigned
- May 23, 2022
- Last updated
- May 23, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1356223 | TX | Primary |
Addresses
Primary practice location
1400 Preston Rd Ste 300
Plano, TX 75093-3603
Mailing address
1400 Preston Rd Ste 300
Plano, TX 75093-3603
Phone (972) 755-9765
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | services@championtomorrow.com | Direct | Champion Rehabilitation and Support Services PLLC |
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3721 S Stonebridge Dr
Unit 1102
McKinney, TX 75070-0236
Phone (817) 381-5177
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1356223 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Multi-Specialty | Current | Accepting new patients |
| Center of Pelvic Excellence Physical Therapy Cope PT | Multi-Specialty | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441
12700 Hillcrest Rd
Ste 149
Dallas, TX 75230
Phone (817) 381-5110
3721 S Stonebridge Dr
Unit 1102
McKinney, TX 75070
Phone (817) 381-5177
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cope PT
- Physical Therapist
- McKinney, TX
- NPI 1245832369
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1336887199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PRESTON RD STE 300",
"city": "PLANO",
"state": "TX",
"postal_code": "750933603",
"telephone_number": "972-755-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PRESTON RD STE 300",
"city": "PLANO",
"state": "TX",
"postal_code": "750933603",
"telephone_number": "972-430-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "DUAN YI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1356223",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "services@championtomorrow.com",
"affiliation": "Y",
"endpointDescription": "services@championtomorrow.com",
"affiliationName": "Champion Rehabilitation and Support Services PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "services@championtomorrow.com",
"address_1": "1400 Preston Rd Ste 300",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750933603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.