NPIMap

Organization Active NPI

D&D Sports Med Aubrey, LLC

  • Physical Therapist
  • Aubrey, TX
National Provider Identifier
1407043292
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
D&D SPORTS MED AUBREY, LLC
Practice address
26875 US Highway 380 E
Suite 124
Aubrey, TX 76227-7853
Phone
(972) 347-6000
Fax
(972) 347-6001
NPI assigned
Sep 26, 2007
Last updated
Sep 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Katherine DieringerNPI 1295737138
Title
Owner/President
Phone
(940) 380-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

26875 US Highway 380 E
Suite 124
Aubrey, TX 76227-7853

Mailing address

2318 San Jacinto Blvd
Suite 108
Denton, TX 76205-7535
Phone (940) 380-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080229000555 TX Part B Supplier - Clinic/Group Practice 6901980838 Receives reassigned benefits from 19 practitioners
Practice locations: Aubrey, TX

National Provider Directory

National Provider Directory

Locations

26795 US Highway 380 E
Ste 200
Aubrey, TX 76227
Phone (972) 347-6000

26875 US Highway 380 E
Ste 124
Aubrey, TX 76227
Phone (972) 347-6000

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1407043292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 SAN JACINTO BLVD",
            "address_2": "SUITE 108",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057535",
            "telephone_number": "940-380-9111",
            "fax_number": "940-380-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26875 US HIGHWAY 380 E",
            "address_2": "SUITE 124",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762277853",
            "telephone_number": "972-347-6000",
            "fax_number": "972-347-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&D SPORTS MED AUBREY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "DIERINGER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "940-380-9111"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aubrey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.