Individual provider Active NPI

John Moses Liu, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1679447767
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407410 Issued in TX
Practice address
18749 Marsh LN
Dallas, TX 75287-3555
Phone
(210) 683-9390
NPI assigned
Oct 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1407410 TX Primary

Addresses

Primary practice location

18749 Marsh LN
Dallas, TX 75287-3555

Mailing address

18749 Marsh LN
Dallas, TX 75287-3555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023004809 TX Practitioner - Physical Therapist in Private Practice 9234627845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctx3 PLLCGroup PAC ID 1355620055, 85 clinicians
Wowyfitness, LLCGroup PAC ID 8224440003, 5 clinicians

Practice addresses (Care Compare)

2419 W Southlake Blvd
100 Direct Orthopedic Care
Southlake, TX 76092-1505
Phone (469) 535-6842

445 Walnut St
Suite 109
Richardson, TX 75081-5584
Phone (972) 899-3473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1407410TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Oct 6, 2025 Accepting new patients
Wowyfitness, LLC Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Doctx3 PLLC CurrentSince Oct 6, 2025 Accepting new patients
On Point MVP LLC Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients

Locations

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

445 Walnut St
Ste 109
Richardson, TX 75081
Phone (972) 899-3473

2419 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (469) 535-6842

Organizations & group practices 4

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": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1679447767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18749 MARSH LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752873555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18749 MARSH LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752873555",
            "telephone_number": "210-683-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JOHN",
        "middle_name": "MOSES",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.