Active NPI
Taliah Royal, DPT
- Physical Therapist
- Mesquite, TX
National Provider Identifier
1902404700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1338379
- Practice address
- 2758 N Galloway Ave Ste 100
Mesquite, TX 75150-6381 - Phone
- (972) 681-1155
- NPI assigned
- Oct 14, 2020
- Last updated
- Oct 14, 2020
- Sex
- Female
- 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 | 1338379 | TX | Primary |
Addresses
Primary practice location
2758 N Galloway Ave Ste 100
Mesquite, TX 75150-6381
Mailing address
1403 Misty Glen LN
Dallas, TX 75232-1533
Phone (214) 403-2389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1902404700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 MISTY GLEN LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752321533",
"telephone_number": "214-403-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2758 N GALLOWAY AVE STE 100",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751506381",
"telephone_number": "972-681-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYAL",
"first_name": "TALIAH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1338379",
"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 Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.