Dirk Peckhaus, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1331468 Issued in TX

Practice address

8850 Six Pines Dr Ste 290
Shenandoah, TX 77380-1692

Phone

(281) 819-6978

NPI assigned

Jul 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Select Physical Therapy Texas Limited Partnership

  • Physical Therapy Clinic/Center
  • Tomball, TX
  • NPI 1770254179

  Physical Therapist

  Medicare reassignment NPD
• Select Physical Therapy Texas Limited Partnership

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1114980604
  NPD

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1639788409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST STE B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 SIX PINES DR STE 290",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773801692",
            "telephone_number": "281-819-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKHAUS",
        "first_name": "DIRK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1331468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyona Pavlova, NURSE PRACTITIONER
• Kara Kathleen Peace, PT, DPT
• Krista Pearce, LPC
• Ralph Purcell Pearce, M.D.
• Linda Tiffany Pearson, M.D.
• Arvin Penacerrada
• Jessica Pendergast, PA-C
• Richard Perches, M.D.
• Carlos Perez-Cosio, M.D.
• Carmen M Perez-Masuelli, M.D.,

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.