Active NPI
Tristan T Boyd, P.T.
- Physical Therapist
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1173420
- Practice address
- 5997 Dustin TRL
Frisco, TX 75034-4048 - Phone
- (706) 631-9994
- NPI assigned
- Feb 14, 2007
- 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 | 1173420 | TX | Primary |
Addresses
Primary practice location
5997 Dustin TRL
Frisco, TX 75034-4048
Mailing address
5997 Dustin TRL
Frisco, TX 75034-4048
Phone (706) 631-9994
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stt@116.direct.myezyaccess.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1545 E Southlake Blvd
Southlake, TX 76092-6422
Phone (817) 748-8701
1545 E Southlake Blvd
Suite 100
Southlake, TX 76092-6465
Phone (682) 651-1908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1173420 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Back Care | Physical Therapist | Current | Accepting new patients |
| Texas Health Back Care | Physical Therapist | Current | Accepting new patients |
Locations
1340 S Main St
Ste 100
Grapevine, TX 76051
Phone (682) 651-1908
1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205
1545 E Southlake Blvd
Ste 100
Southlake, TX 76092
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Rockwall, TX
- NPI 1811366982
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Southlake, TX
- NPI 1770952830
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1780727560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5997 DUSTIN TRL",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344048",
"telephone_number": "706-631-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5997 DUSTIN TRL",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344048",
"telephone_number": "706-631-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "TRISTAN",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1173420",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stt@116.direct.myezyaccess.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1545 E Southlake Blvd Ste 100",
"city": "Southlake",
"state": "TX",
"country_code": "US",
"postal_code": "760926465",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.