Individual provider Active NPI

Richard Charles Pietersz, MPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1851412118
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1094605 Issued in TX
Practice address
18152 Preston Rd Ste I-2
Dallas, TX 75252-5427
Phone
(469) 200-2832
Fax
(469) 269-1074
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 1094605 TX Primary

Addresses

Primary practice location

18152 Preston Rd Ste I-2
Dallas, TX 75252-5427

Mailing address

18152 Preston Rd Ste I-2
Dallas, TX 75252-5427
Phone (469) 200-2832

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130117000331 TX Practitioner - Physical Therapist in Private Practice 7911150297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctx3 PLLCGroup PAC ID 1355620055, 85 clinicians

Practice addresses (Care Compare)

2419 W Southlake Blvd
100 Direct Orthopedic Care
Southlake, TX 76092-1505
Phone (469) 535-6842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC CurrentSince Apr 25, 2022 Accepting new patients
Sports Physicians Orthopedics and Rehabilitation of Texas CurrentSince Aug 7, 2023 Accepting new patients
Doctx3 PLLC CurrentSince Dec 6, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Apr 25, 2022 Accepting new patients
Doctx3 PLLC CurrentSince Dec 6, 2024 Accepting new patients

Locations

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

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

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

18152 Preston Rd
Ste 2
Dallas, TX 75252

18152 Preston Rd
Ste I2
Dallas, TX 75252
Phone (817) 382-6789

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

5129 N Garland Ave
Ste 600
Garland, TX 75040
Phone (469) 838-4072

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

2419 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (469) 535-6842

3400 W FM 544
Ste 650
Wylie, TX 75098
Phone (469) 656-5800

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1851412118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18152 PRESTON RD STE I-2",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525427",
            "telephone_number": "469-200-2832",
            "fax_number": "469-269-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18152 PRESTON RD STE I-2",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525427",
            "telephone_number": "469-200-2832",
            "fax_number": "469-269-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETERSZ",
        "first_name": "RICHARD",
        "middle_name": "CHARLES",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1094605",
            "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 Jul 27, 2023; 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.