Individual provider Active NPI

Daniel J Willis, PT, DPT

  • Physical Therapist
  • Mesquite, TX
National Provider Identifier
1881495216
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1403087 Issued in TX
Practice address
2696 N Galloway Ave Ste 101
Mesquite, TX 75150-6363
Phone
(972) 270-5555
Fax
(972) 270-7071
NPI assigned
Mar 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 1403087 TX Primary

Addresses

Primary practice location

2696 N Galloway Ave Ste 101
Mesquite, TX 75150-6363

Mailing address

1513 Melrose St
Garland, TX 75042-4247
Phone (214) 264-4253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416000987 TX Practitioner - Physical Therapist in Private Practice 6608391297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2241 Peggy LN
Suite C
Garland, TX 75042-5709
Phone (972) 272-9643

2696 N Galloway Ave
101 Mesquite Physical Therapy
Mesquite, TX 75150-6363
Phone (972) 270-5555

3007 Ridge Rd
Rockwall, TX 75032-5806
Phone (469) 887-1021

4138 19TH St
Lubbock, TX 79407-2403
Phone (806) 780-2329

7120 Campbell Rd
Suite 105
Dallas, TX 75248-1567
Phone (972) 480-9455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Today of Lubbock, LP Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Physical Therapy Today of Lubbock LP Physical Therapist Current Accepting new patients

Locations

2241 Peggy Ln
Ste C
Garland, TX 75042
Phone (972) 272-9643

4138 19th St
Lubbock, TX 79407
Phone (806) 780-2329

2696 N Galloway Ave
Ste 101
Mesquite, TX 75150
Phone (972) 270-5555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1881495216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 MELROSE ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424247",
            "telephone_number": "214-264-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 N GALLOWAY AVE STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506363",
            "telephone_number": "972-270-5555",
            "fax_number": "972-270-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1403087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.