Active NPI
Javier Ponciano, DPT
- Physical Therapist
- Frisco, TX
National Provider Identifier
1932958436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1392722
- Practice address
- 5000 Eldorado Pkwy Ste 430
Frisco, TX 75033-8608 - Phone
- (214) 436-4606
- Fax
- (214) 234-9058
- NPI assigned
- May 16, 2024
- Sex
- Male
- 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 | 1392722 | TX | Primary |
Addresses
Primary practice location
5000 Eldorado Pkwy Ste 430
Frisco, TX 75033-8608
Mailing address
PO Box 2650
Coppell, TX 75019-8607
Phone (972) 724-2400
Other practice location 1
4364 Heritage Trace Pkwy Ste 108
Fort Worth, TX 76244-9125
Phone (817) 379-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2453
241 N Preston Rd
Suite B
Prosper, TX 75078-9896
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1392722 | TX | MD | Physical Therapist |
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.
-
- Physical Therapist
- Plano, TX
- NPI 1144600362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741996800000",
"number": "1932958436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2650",
"city": "COPPELL",
"state": "TX",
"postal_code": "750198607",
"telephone_number": "972-724-2400",
"fax_number": "972-724-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 ELDORADO PKWY STE 430",
"city": "FRISCO",
"state": "TX",
"postal_code": "750338608",
"telephone_number": "214-436-4606",
"fax_number": "214-234-9058"
}
],
"practiceLocations": [
{
"address_1": "4364 Heritage Trace Pkwy Ste 108",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "762449125",
"country_code": "US",
"telephone_number": "817-379-1400",
"fax_number": "817-379-1404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PONCIANO",
"first_name": "JAVIER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-16",
"last_updated": "2025-03-15",
"certification_date": "2025-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1392722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.