David Bradley Tilley

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2150398 Issued in TX

Practice address

200 Country Brook Dr Apt 2110
Keller, TX 76248-2135

Phone

(817) 337-3082

NPI assigned

Sep 15, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Legacy Healthcare Services, Inc

  dba Legacy Rehabilitation Services, Inc.

  • Physical Therapist
  • Lewisville, TX
  • NPI 1972928208
  NPD (past)
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD (past)

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1407406150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CROSS TIMBERS DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483842",
            "telephone_number": "804-307-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COUNTRY BROOK DR APT 2110",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482135",
            "telephone_number": "817-337-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "DAVID",
        "middle_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2150398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Thompson, LPC
• Paul Edward Thompson, M.S., LPC
• Tatyana Thompson
• Thousand Sunny Healthcare, LLC
• Allison Rose Tietjen, OTD
• Anjana Timalsina, FNP
• Caitlynn Timberlake
• Timberland Family Dental PLLC
• Jordan Tivis, DPT
• Cardarius Tobin

• Physical Therapy Assistant in Keller, TX
• Providers in Keller, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.