Tumble Authority Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TUMBLE AUTHORITY PHYSICAL THERAPY

Practice address

5608 Malvey Ave Ste 204
Fort Worth, TX 76107-5108

Phone

(817) 386-4144

Fax

(817) 386-4144

NPI assigned

Mar 13, 2023

Organization subpart

No

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

Authorized official

Name

Isaac Deanda

Title

Physical Therapist

Phone

(817) 386-4144

Specialties & licenses 3

Addresses

Other names 1

• West DFW Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1619678042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 MORNING DEW ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084922",
            "telephone_number": "325-267-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 MALVEY AVE STE 204",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075108",
            "telephone_number": "817-386-4144",
            "fax_number": "817-386-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUMBLE AUTHORITY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "DEANDA",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "817-386-4144"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West DFW Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Pacee Tuggle, LCDC
• Diana Tuitai
• Ashley Tullier, OT
• Glen Eldon Tullous III, FNP-C
• Michael Tuma, LPC, LCDC
• Rajachendra Shekher Tumma, M.D.
• Gayane Tumyan, MD
• Aaron Wood Tungate, P.A.
• Valisa A Tungate, L.P.T.
• Chris Tupper, M.D.

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.