Active NPI
Launa Bouseman
- Physical Therapist
- Dallas, TX
National Provider Identifier
1932529039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1069961
- Practice address
- 17480 Dallas Pkwy
Suite 221
Dallas, TX 75287-7337 - Phone
- (214) 623-5900
- NPI assigned
- Apr 16, 2014
- Last updated
- Apr 16, 2014
- 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 | 1069961 | TX | Primary |
Addresses
Primary practice location
17480 Dallas Pkwy
Suite 221
Dallas, TX 75287-7337
Mailing address
8017 Ambiance Way
Plano, TX 75024-6839
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 |
|---|---|---|---|
| 1069961 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Health Services, Inc. | Past | Accepting new patients | |
| Epic Health Services, Inc. | Past | Accepting new patients |
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, 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": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1932529039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8017 AMBIANCE WAY",
"city": "PLANO",
"state": "TX",
"postal_code": "750246839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17480 DALLAS PKWY",
"address_2": "SUITE 221",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877337",
"telephone_number": "214-623-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUSEMAN",
"first_name": "LAUNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-16",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1069961",
"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 Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.