Active NPI
Mary Ellen Solis Nguyen, PT, MS
- Physical Therapist
- Dallas, TX
National Provider Identifier
1568756583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1153291
- Practice address
- 16250 Knoll Trail Dr Ste 101
Dallas, TX 75248-2868 - Phone
- (214) 679-3891
- Fax
- (469) 405-2994
- NPI assigned
- Jun 7, 2011
- 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 | 1153291 | TX | Primary |
Addresses
Primary practice location
16250 Knoll Trail Dr Ste 101
Dallas, TX 75248-2868
Mailing address
PO Box 835613
Richardson, TX 75083-5613
Phone (214) 679-3891
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346875275 | Other | TX | ORGANIZATIONAL NPI |
| 1568756583 | Other | TX | NPI |
| 1153291 | Other | TX | TEXAS PHYSICAL THERAPY BOARD OF EXAMINERS |
Other names 1
- Miss Mary Ellen Solis
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16250 Knoll Trail Dr
Dallas, TX 75248-2874
Phone (214) 679-3891
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1153291 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Ellen Nguyen | Physical Therapist | Current | Accepting new patients |
Locations
16250 Knoll Trail Dr
Ste 101
Dallas, TX 75248
Phone (214) 679-3891
6911 Frankford Rd
Dallas, TX 75252
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.
-
- Physical Therapist
- Dallas, TX
- NPI 1346875275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1568756583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 835613",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750835613",
"telephone_number": "214-679-3891",
"fax_number": "469-405-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16250 KNOLL TRAIL DR STE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752482868",
"telephone_number": "214-679-3891",
"fax_number": "469-405-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MARY ELLEN",
"middle_name": "SOLIS",
"name_prefix": "Mrs.",
"credential": "PT, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1153291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATIONAL NPI",
"identifier": "1346875275",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1568756583",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS PHYSICAL THERAPY BOARD OF EXAMINERS",
"identifier": "1153291",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "SOLIS",
"middle_name": "ELLEN",
"prefix": "MISS",
"credential": "PT, MS",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 7, 2024; 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.