Active NPI
Kyle Dolan Cantu, DPT
- Physical Therapist
- Corinth, TX
National Provider Identifier
1740977164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1378012
- Practice address
- 3001 FM 2181 Ste 150
Corinth, TX 76210-0109 - Phone
- (940) 498-4004
- Fax
- (940) 498-4008
- NPI assigned
- Apr 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1378012 | TX | Primary |
Addresses
Primary practice location
3001 FM 2181 Ste 150
Corinth, TX 76210-0109
Mailing address
PO Box 2650
Coppell, TX 75019-8607
Phone (972) 724-2400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1378012 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1740977164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2650",
"city": "COPPELL",
"state": "TX",
"postal_code": "750198607",
"telephone_number": "972-724-2400",
"fax_number": "972-724-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 FM 2181 STE 150",
"city": "CORINTH",
"state": "TX",
"postal_code": "762100109",
"telephone_number": "940-498-4004",
"fax_number": "940-498-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "KYLE",
"middle_name": "DOLAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1378012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corinth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.