Everett Shayne Dutton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1112258 Issued in TX

Practice address

1208 S FM 51
Ste B
Decatur, TX 76234-2408

Phone

(940) 627-7554

Fax

(940) 627-7582

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wise Performance Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Decatur, TX
  • NPI 1023195203

  Physical Therapist

  NPD (past)
• Wise Performance Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Decatur, TX
  • NPI 1962617662
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891755112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 LOS RIOS DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76179",
            "telephone_number": "817-236-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 S FM 51",
            "address_2": "STE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762342408",
            "telephone_number": "940-627-7554",
            "fax_number": "940-627-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "EVERETT",
        "middle_name": "SHAYNE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1112258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Gene Doubrava, DO
• Dr. Meria Aulds, M. D.
• Dr. Tad W Billmire
• Bryan James Dulock, CRNA
• Eddie Ray Dunlap, CRNA
• Deena Dwyer, BSRT(T)
• Kourtney Ann Dwyer, MD
• E Medical Group of North Texas, Inc.
• Meagan Edelen, CRNA
• Edward Henry Fries

• Physical Therapist in Decatur, TX
• Providers in Decatur, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.