Individual provider Active NPI

Talin Minter Pepper, PT

  • Physical Therapist
  • Burleson, TX
National Provider Identifier
1851609184
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1200193 Issued in TX
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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 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

IdentifierTypeStateIssuer
1G1846OtherTXMC PTAN
849T45OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000702 TX Practitioner - Physical Therapist in Private Practice 9638361835 Reassigns benefits to 1 organization

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
Dr Pepper Physical Therapy LLCGroup PAC ID 8123445897, 4 clinicians

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

LicenseStateTypeSpecialty
PT1200193TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Pepper Physical Therapy LLC Physical Therapist CurrentSince Sep 1, 2020 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.

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.

Verify at the official NPI Registry.