Individual provider Active NPI

Gopinath Thippareddy, P.T.

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1609098524
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1241026 Issued in TX
Practice address
5350 Independence Parkway
110B
Frisco, TX 75035
Phone
(972) 587-9404
Fax
(972) 587-9414
NPI assigned
May 2, 2007
Last updated
Apr 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1241026 TX Primary

Addresses

Primary practice location

5350 Independence Parkway
110B
Frisco, TX 75035

Mailing address

5350 Independence Parkway
110B
Frisco, TX 75035
Phone (972) 587-9404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619001404 TX Practitioner - Physical Therapist in Private Practice 9739287251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Fit IncGroup PAC ID 3476808726, 2 clinicians

Practice addresses (Care Compare)

4617 Coit Rd
Suite 150
Frisco, TX 75035-4924
Phone (972) 587-9404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Fit Inc Physical Therapist CurrentSince May 9, 2018 Accepting new patients
Complete Care Rehab LLC Past Accepting new patients

Locations

4617 Coit Rd
Ste 150
Frisco, TX 75035
Phone (972) 587-9404

5350 Independence Pkwy
Ste 110B
Frisco, TX 75035
Phone (972) 587-9404

Organizations & group practices 2

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1609098524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 INDEPENDENCE PARKWAY",
            "address_2": "110B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-587-9404",
            "fax_number": "972-587-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 INDEPENDENCE PARKWAY",
            "address_2": "110B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-587-9404",
            "fax_number": "972-587-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIPPAREDDY",
        "first_name": "GOPINATH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1241026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.