Individual provider Active NPI

Dustin Matthew Gartner, DPT, OCS

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1811238470
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1327028 Issued in TX
Practice address
1921 Preston Rd Ste 2074
Plano, TX 75093-5124
Phone
(972) 905-6622
NPI assigned
Mar 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 009666 CT
Physical Therapist 225100000X 1327028 TX Primary

Addresses

Primary practice location

1921 Preston Rd Ste 2074
Plano, TX 75093-5124

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130617000254 CT Practitioner - Physical Therapist in Private Practice 4981843331 Reassigns benefits to 1 organization
I20200505000154 TX Practitioner - Physical Therapist in Private Practice 4981843331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
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)

1101 Raintree Cir
Suite 150
Allen, TX 75013-4957
Phone (214) 509-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009666CTMDPhysical Therapist
1327028TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince May 3, 2021 Accepting new patients
Quinnipiac Physical Therapy & Sports Medicine PC Physical Therapist CurrentSince Mar 1, 2013 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 3, 2021 Accepting new patients
Vista JV Partners LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Montowese Chiropractic Center LLC Past Accepting new patients
Vista Rehab Partners LP Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

202 State St
North Haven, CT 06473
Phone (203) 239-4274

1101 Raintree Cir
Ste 150
Allen, TX 75013
Phone (214) 383-9939

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

10150 Legacy Dr
Ste 100
Frisco, TX 75033
Phone (214) 705-8000

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

475 Elm St
Ste 200
Lewisville, TX 75057
Phone (945) 212-0050

3565 Lakota Trl
#100
McKinney, TX 75070
Phone (214) 592-0599

6105 Windcom Ct
Ste 300
Plano, TX 75093
Phone (972) 781-1111

1921 Preston Rd
Ste 2074
Plano, TX 75093
Phone (972) 905-6622

821 N Coleman St
Ste 160
Prosper, TX 75078
Phone (972) 347-1111

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 6

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": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1811238470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 PRESTON RD STE 2074",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935124",
            "telephone_number": "972-905-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTNER",
        "first_name": "DUSTIN",
        "middle_name": "MATTHEW",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009666",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1327028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.