Individual provider Active NPI

Jansen Yamout, PT

  • Physical Therapist
  • Desoto, TX
National Provider Identifier
1639557259
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2716 Travis Dr
Desoto, TX 75115-2089
Phone
(817) 375-5200
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1258255 TX
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2716 Travis Dr
Desoto, TX 75115-2089

Mailing address

PO Box 35232
Attn: Credentialing
Belfast, ME 04915-0630
Phone (469) 864-6290

Other practice location 1

12345 Katy Fwy
Houston, TX 77079-1503
Phone (281) 679-5600

Other practice location 2

101 Medical Pkwy Ste 110
Lakeway, TX 78738-5647
Phone (512) 879-4343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616002029 TX Practitioner - Physical Therapist in Private Practice 4688985799 Reassigns benefits to 3 organizations

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
Orthotx PLLCGroup PAC ID 9739161704, 83 clinicians

Practice addresses (Care Compare)

2005 W Park Dr
Suite 100 Arlington Or
Irving, TX 75061-2034
Phone (817) 375-5347

2716 Travis Dr
Desoto, TX 75115-2089
Phone (817) 375-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1258255TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportherapy LLC Physical Therapist CurrentSince Oct 12, 2024 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients
Orthotx, PLLC CurrentSince May 1, 2025 Accepting new patients
Orthotx, PLLC CurrentSince May 1, 2025 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Aug 22, 2022 Accepting new patients
Gateway Partners Inc Physical Therapist PastSince Dec 15, 2011 Accepting new patients
Sportherapy Southwest, PC Physical Therapist Past Accepting new patients

Locations

701 Highlander Blvd
#370
Arlington, TX 76015

800 Orthopedic Way
Arlington, TX 76015
Phone (817) 375-5375

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

2716 Travis Dr
Desoto, TX 75115
Phone (817) 375-5246

2423 W Airport Fwy
Irving, TX 75062
Phone (817) 375-5312

8857 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 413-8700

101 Medical Pkwy
Ste 110
Lakeway, TX 78738
Phone (512) 879-4343

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

167 Regency Pkwy
Ste 105
Mansfield, TX 76063
Phone (682) 341-0076

1441 S Midlothian Pkwy
Ste 130
Midlothian, TX 76065

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891

Interoperability endpoints

  • Direct secure messaging: jansen.yamout.1@15749.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1639557259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35232",
            "address_2": "ATTN: CREDENTIALING",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150630",
            "telephone_number": "469-864-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 TRAVIS DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152089",
            "telephone_number": "817-375-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12345 Katy Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770791503",
            "country_code": "US",
            "telephone_number": "281-679-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Medical Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "787385647",
            "country_code": "US",
            "telephone_number": "512-879-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMOUT",
        "first_name": "JANSEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1258255",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.