Individual provider Active NPI

Elena Dimattia Tate, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1760057111
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9291 Garland Rd Ste 110
Dallas, TX 75218-2850
Phone
(972) 892-4541
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10898 LA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9291 Garland Rd Ste 110
Dallas, TX 75218-2850

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

506 N Parkerson Ave
Crowley, LA 70526-4351
Phone (337) 990-5621

Other practice location 2

1490 Market St Ste 2
Lake Charles, LA 70601-3850
Phone (337) 990-5621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212000040 TX Practitioner - Physical Therapist in Private Practice 6608278403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Practice addresses (Care Compare)

3535 Travis St
Suite 160
Dallas, TX 75204-1428
Phone (214) 346-9105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10898LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC Physical Therapist CurrentSince Jan 19, 2026 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jan 4, 2026 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jan 4, 2026 Accepting new patients
Vista Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

6333 E Mockingbird Ln
Ste 139
Dallas, TX 75214
Phone (469) 782-7786

4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

3535 Travis St
Ste 160
Dallas, TX 75204
Phone (214) 346-9105

9291 Garland Rd
Ste 110
Dallas, TX 75218
Phone (972) 892-4541

9660 Audelia Rd
Ste 101
Dallas, TX 75238
Phone (214) 273-0510

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

331 Las Colinas Blvd E
Irving, TX 75039
Phone (972) 256-7114

2002 W Grand Pkwy N
Ste 125
Katy, TX 77449
Phone (281) 710-9001

6060 Rocky Point Trl
Ste 100
Lake Worth, TX 76135
Phone (682) 289-9840

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1760057111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 GARLAND RD STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182850",
            "telephone_number": "972-892-4541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 N Parkerson Ave",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "LA",
            "postal_code": "705264351",
            "country_code": "US",
            "telephone_number": "337-990-5621",
            "fax_number": "337-990-5623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 Market St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706013850",
            "country_code": "US",
            "telephone_number": "337-990-5621",
            "fax_number": "337-990-5623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "ELENA",
        "middle_name": "DIMATTIA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10898",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Apr 16, 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.