Individual provider Active NPI

Lara Pitt, PT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1861879082
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1178998 Issued in TX
Practice address
5855 Milton St
Dallas, TX 75206-4202
Phone
(469) 310-1700
Fax
(469) 310-1701
NPI assigned
Apr 27, 2015
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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 1178998 TX Primary

Addresses

Primary practice location

5855 Milton St
Dallas, TX 75206-4202

Mailing address

5100 Eldorado Pkwy # 102-20TR
McKinney, TX 75070-6510
Phone (469) 310-5170

Other practice location 1

5555 Arapaho Rd
Dallas, TX 75248-3442
Phone (469) 620-4260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218002114 TX Practitioner - Physical Therapist in Private Practice 8729075478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

1860 N Cooper St
Arlington, TX 76011-3639
Phone (817) 776-3501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist CurrentSince Aug 6, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Aug 6, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Associates in Physical Therapy of Fort Collins, Inc. Physical Therapist PastSince Jul 25, 1995 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1860 N Cooper St
Arlington, TX 76011
Phone (469) 575-3312

800 Whitley Rd
Keller, TX 76248
Phone (817) 357-7181

Organizations & group practices 4

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1861879082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY # 102-20TR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706510",
            "telephone_number": "469-310-5170",
            "fax_number": "469-310-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 MILTON ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064202",
            "telephone_number": "469-310-1700",
            "fax_number": "469-310-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Arapaho Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752483442",
            "country_code": "US",
            "telephone_number": "469-620-4260",
            "fax_number": "469-620-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITT",
        "first_name": "LARA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1178998",
            "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 Dec 6, 2018; 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.