Individual provider Active NPI

Teagan Elizabeth Lamkin

  • Physical Therapy Assistant
  • Fort Worth, TX
National Provider Identifier
1659968907
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2158735 Issued in TX
Practice address
1901 Cooper St
Fort Worth, TX 76104-2546
Phone
(817) 877-8977
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2158735 TX Primary

Addresses

Primary practice location

1901 Cooper St
Fort Worth, TX 76104-2546

Mailing address

5 Regents Park
Bedford, TX 76022-6533
Phone (214) 223-5710

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Hilda@sportsrehabspecialists.net
Direct Messaging Address Hilda@sportsrehabspecialists.net

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

LicenseStateTypeSpecialty
2158735TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Rehabilitation Specialists, Inc CurrentSince Dec 27, 2020 Accepting new patients

Locations

1901 Cooper St
Ft Worth, TX 76104
Phone (817) 877-8977

Interoperability endpoints

  • Direct secure messaging: hilda@sportsrehabspecialists.net

Organizations & group practices 1

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1659968907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REGENTS PARK",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226533",
            "telephone_number": "214-223-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 COOPER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042546",
            "telephone_number": "817-877-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMKIN",
        "first_name": "TEAGAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2158735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hilda@sportsrehabspecialists.net",
            "affiliation": "N",
            "address_1": "1900 Cooper St",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hilda@sportsrehabspecialists.net",
            "affiliation": "N",
            "address_1": "1901 Cooper St",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.