Trentice Deshaun Lazard

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1386709 Issued in TX

Practice address

1515 N Town East Blvd Ste 500
Mesquite, TX 75150-4145

Phone

(214) 273-2903

Fax

(469) 306-0309

NPI assigned

Aug 29, 2022

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

Merit-based Incentive Payment System (MIPS)

Final score

85.56 of 100Reported as group

Quality

89.48

Improvement activities

40

Cost

71.16

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ideal Physical Therapy of Texas LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746
  Medicare reassignment NPD
• Total Therapeutic Training LLC

  • Physical Therapy Clinic/Center
  • Combine, TX
  • NPI 1225890932
  NPD Authorized official
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1720708076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N TOWN EAST BLVD STE 500",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504145",
            "telephone_number": "214-273-2903",
            "fax_number": "469-306-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Summer Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750325452",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 Woodbridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750987165",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Terrell",
            "state": "TX",
            "postal_code": "751602732",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Fm 2453 Ste D",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751897037",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Arch St",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751898631",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Fm 548 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751266992",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZARD",
        "first_name": "TRENTICE",
        "middle_name": "DESHAUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1386709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Reyna Landry
• Joshua Craig Langhorne, M.D.
• William Brooks Langston III
• Laquita a Shepherd, MD PLLC
• Felicia Lawal
• Chuong Khanh Le, PHARM.D
• Tailynn Trang Le
• Tang Dinh Le, D.O
• Tinh Dinh Le, DO/MBA
• Vu C Le, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.