Individual provider Active NPI

Richard Ancell, PT

  • Physical Therapist
  • Keller, TX
National Provider Identifier
1689067282
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1116184 Issued in TX
Practice address
8857 Davis Blvd
Suite 100
Keller, TX 76248-0308
Phone
(817) 431-8700
Fax
(817) 431-8811
NPI assigned
Mar 6, 2015
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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 1116184 TX Primary

Addresses

Primary practice location

8857 Davis Blvd
Suite 100
Keller, TX 76248-0308

Mailing address

8857 Davis Blvd
Suite 100
Keller, TX 76248-0308
Phone (817) 431-8700

Other identifiers 1

IdentifierTypeStateIssuer
3460644-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150330000120 TX Practitioner - Physical Therapist in Private Practice 0244557387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4780 N Josey LN
Carrollton, TX 75010-4615
Phone (972) 492-1334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotexas Physicians and Surgeons, PLLC CurrentSince May 28, 2025 Accepting new patients
Sportherapy LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Orthotexas Physicians and Surgeons, PLLC CurrentSince May 28, 2025 Accepting new patients
Orthotexas Physicians and Surgeons, PLLC Current Accepting new patients
Sportherapy Southwest, PC Physical Therapist Past Accepting new patients

Locations

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

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

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

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

Interoperability endpoints

  • Direct secure messaging: richard.ancell.1@15749.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1689067282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8857 DAVIS BLVD",
            "address_2": "SUITE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480308",
            "telephone_number": "817-431-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8857 DAVIS BLVD",
            "address_2": "SUITE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480308",
            "telephone_number": "817-431-8700",
            "fax_number": "817-431-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCELL",
        "first_name": "RICHARD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-06",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1116184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3460644-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.