Active NPI
Peter Yeatts
- Physical Therapist
- Dallas, TX
National Provider Identifier
1912373820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1264535
- Practice address
- 6243 Retail Rd
Suite 600
Dallas, TX 75231-7808 - Phone
- (214) 890-9853
- Fax
- (214) 890-9856
- NPI assigned
- Aug 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 1264535 | TX | Primary |
Addresses
Primary practice location
6243 Retail Rd
Suite 600
Dallas, TX 75231-7808
Mailing address
8650 Southwestern Blvd
#2612
Dallas, TX 75206-2611
Phone (940) 367-7095
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1264535 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bir JV LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1912373820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8650 SOUTHWESTERN BLVD",
"address_2": "#2612",
"city": "DALLAS",
"state": "TX",
"postal_code": "752062611",
"telephone_number": "940-367-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6243 RETAIL RD",
"address_2": "SUITE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752317808",
"telephone_number": "214-890-9853",
"fax_number": "214-890-9856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEATTS",
"first_name": "PETER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1264535",
"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 Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.