Active NPI
Shayan Moslemi, DPT
- Physical Therapist
- The Colony, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1264416
- Practice address
- 3751 Main St Ste 100
The Colony, TX 75056-4133 - Phone
- (469) 476-3523
- Fax
- (972) 845-7418
- NPI assigned
- Jul 7, 2015
- 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 | 1264416 | TX | Primary |
Addresses
Primary practice location
3751 Main St Ste 100
The Colony, TX 75056-4133
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
2119 E Hatch Rd Ste A
Modesto, CA 95351-4814
Phone (209) 803-9163
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, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2453
600 Oakmont LN
Suite 600C
Westmont, IL 60559-5548
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.73 of 100
- Quality
- 41.21
- Improvement activities
- 40
- Cost
- 83.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1264416 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Physical Therapy Professional Corporation | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995
125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318
1821 N Lake Forest Dr
Ste 300
McKinney, TX 75071
Phone (469) 219-3707
4001 W 15th St
Ste 490
Plano, TX 75093
Phone (469) 416-5250
3751 Main St
Ste 100
The Colony, TX 75056
Phone (469) 476-3523
Organizations & group practices 5
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 Therapist
- Plano, TX
- NPI 1538573746
-
- Physical Therapist
- Tracy, CA
- NPI 1891508685
-
- Physical Therapy Clinic/Center
- Frisco, TX
- NPI 1891363800
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1821471004",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 MAIN ST STE 100",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750564133",
"telephone_number": "469-476-3523",
"fax_number": "972-845-7418"
}
],
"practiceLocations": [
{
"address_1": "2119 E Hatch Rd Ste A",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953514814",
"country_code": "US",
"telephone_number": "209-803-9163",
"fax_number": "209-622-4159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSLEMI",
"first_name": "SHAYAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1264416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Colony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.