Individual provider Active NPI

Don F Vallie Jr., PT

  • Physical Therapist
  • Athens, TX
National Provider Identifier
1801805965
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1019057 Issued in TX
Practice address
907 S. Palestine
Athens, TX 75751
Phone
(903) 675-0077
Fax
(903) 675-0078
NPI assigned
Aug 7, 2006
Last updated
Oct 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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 1019057 TX Primary

Addresses

Primary practice location

907 S. Palestine
Athens, TX 75751

Mailing address

PO Box 2028
Athens, TX 75751
Phone (903) 675-0077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000333 TX Practitioner - Physical Therapist in Private Practice 0547234270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

896 Summit St
Suite 102
Round Rock, TX 78664-4370
Phone (512) 599-4262

907 S Palestine St
Athens, TX 75751-3612
Phone (903) 675-0077

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of Gun Barrel City, PLLC Physical Therapist CurrentSince Apr 7, 2004 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients

Locations

907 S Palestine St
Athens, TX 75751
Phone (903) 675-0077

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

126 W Main St
Ste F
Gun Barrel City, TX 75156
Phone (903) 713-7000

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

Organizations & group practices 3

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1801805965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2028",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "75751",
            "telephone_number": "903-675-0077",
            "fax_number": "903-675-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S. PALESTINE",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "75751",
            "telephone_number": "903-675-0077",
            "fax_number": "903-675-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLIE",
        "first_name": "DON",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1019057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.