Active NPI
Yatinkumar Panchal, PT, DPT
- Physical Therapist
- Justin, TX
National Provider Identifier
1609358324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1256211
- Practice address
- 120 Meadow View Dr
Justin, TX 76247-9639 - Phone
- (940) 648-2731
- NPI assigned
- Aug 29, 2018
- Last updated
- Aug 29, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 1256211 | TX | Primary |
Addresses
Primary practice location
120 Meadow View Dr
Justin, TX 76247-9639
Mailing address
8133 Charford Dr
Fort Worth, TX 76131-1638
Phone (734) 548-2231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1256211 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1609358324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8133 CHARFORD DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761311638",
"telephone_number": "734-548-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MEADOW VIEW DR",
"city": "JUSTIN",
"state": "TX",
"postal_code": "762479639",
"telephone_number": "940-648-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCHAL",
"first_name": "YATINKUMAR",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1256211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Justin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.