Phoebe Havill, PT, MPT, PCS, CKTP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1161519 Issued in TX

Practice address

4700 Alliance Blvd
Plano, TX 75093-5323

Phone

(469) 814-2550

Fax

(469) 814-2555

NPI assigned

Nov 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1609153774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ALLIANCE BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935323",
            "telephone_number": "469-814-2550",
            "fax_number": "469-814-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ALLIANCE BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935323",
            "telephone_number": "469-814-2550",
            "fax_number": "469-814-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVILL",
        "first_name": "PHOEBE",
        "credential": "PT, MPT, PCS, CKTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1161519",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1161519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Lee Haupt, CPNP-AC
• Casey Hausman
• Havant PLLC (Heart and Vascular Associates of North Texas)
• Tiffany Renae Havard, APRN, WHNP-BC
• Haven Tree Counseling
• Kami Hawk, LMSW
• W. Laura Hawk, PH.D.
• Alycia L Hawkins, FNP
• Cassondra Alexandria Hawkins, APRN, FNP-C
• Julie Hawkins, NP-C

• Physical Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.