Individual provider Active NPI

Rommel Angelo Gomez Reyes, PT, DPT

  • Orthopedic Physical Therapist
  • Dallas, TX
National Provider Identifier
1508582537
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1350749 Issued in TX
Practice address
6011 Harry Hines Blvd
Dallas, TX 75235-5386
Phone
(214) 648-1500
NPI assigned
Oct 12, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 1350749 TX Primary

Addresses

Primary practice location

6011 Harry Hines Blvd
Dallas, TX 75235-5386

Mailing address

6541 Shady Brook LN Apt 2103
Dallas, TX 75206-9134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130002419 TX Practitioner - Physical Therapist in Private Practice 3274901947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Performance Physical Therapy, PCGroup PAC ID 1153334834, 8 clinicians

Practice addresses (Care Compare)

12617 Ridgeline Blvd
BLDG C105
Cedar Park, TX 78613-1606
Phone (512) 996-0441

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 21, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Single Specialty Current Accepting new patients
Champion Performance Physical Therapy, PC Single Specialty CurrentSince Jun 16, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas Single Specialty CurrentSince Nov 21, 2022 Accepting new patients

Locations

12617 Ridgeline Blvd
Bldg C105
Cedar Park, TX 78613

6011 Harry Hines Blvd
Ste V3
Dallas, TX 75235
Phone (214) 648-6562

6011 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 648-6510

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1508582537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6541 SHADY BROOK LN APT 2103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752069134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355386",
            "telephone_number": "214-648-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ROMMEL ANGELO",
        "middle_name": "GOMEZ",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1350749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.