Active NPI
Talin Minter Pepper, PT
- Physical Therapist
- Burleson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1200193
- Practice address
- 437 SW Wilshire Blvd Ste B
Burleson, TX 76028-5300 - Phone
- (817) 916-0878
- Fax
- (817) 916-0879
- NPI assigned
- Sep 21, 2010
- Last updated
- Sep 24, 2020
- 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 | PT1200193 | TX | Primary |
Addresses
Primary practice location
437 SW Wilshire Blvd Ste B
Burleson, TX 76028-5300
Mailing address
437 SW Wilshire Blvd Ste B
Burleson, TX 76028-5300
Phone (817) 916-0878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1G1846 | Other | TX | MC PTAN |
| 849T45 | Other | TX | BLUE CROSS BLUE SHIELD |
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
437 SW Wilshire Blvd
Suite B
Burleson, TX 76028-5300
Phone (817) 916-0878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1200193 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Pepper Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Huffman Rehab PLLC | Physical Therapist | Past | Accepting new patients |
Locations
437 SW Wilshire Blvd
Ste B
Burleson, TX 76028
Phone (817) 904-5070
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Burleson, TX
- NPI 1790302511
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- Physical Therapist
- Celina, TX
- NPI 1992006324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1851609184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 SW WILSHIRE BLVD STE B",
"city": "BURLESON",
"state": "TX",
"postal_code": "760285300",
"telephone_number": "817-916-0878",
"fax_number": "817-916-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 SW WILSHIRE BLVD STE B",
"city": "BURLESON",
"state": "TX",
"postal_code": "760285300",
"telephone_number": "817-916-0878",
"fax_number": "817-916-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPER",
"first_name": "TALIN",
"middle_name": "MINTER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-21",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "PT1200193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC PTAN",
"identifier": "1G1846",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "849T45",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.