Individual provider Active NPI

Isheanesu Nyangani

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1942782636
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1308660 Issued in TX
Practice address
9009 White Rock TRL
Dallas, TX 75238-3347
Phone
(214) 355-3340
NPI assigned
Aug 30, 2018
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1308660 TX Primary

Addresses

Primary practice location

9009 White Rock TRL
Dallas, TX 75238-3347

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220418000470 TX Practitioner - Physical Therapist in Private Practice 9436546629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3005 Lakeview Pkwy
Suite 400
Rowlett, TX 75088-3320
Phone (469) 344-4188

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1308660TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Apr 18, 2022 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Apr 18, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

7010 W Highway 71
Ste 300A
Austin, TX 78735
Phone (512) 975-7268

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

6333 E Mockingbird Ln
Ste 139
Dallas, TX 75214
Phone (469) 782-7786

9660 Audelia Rd
Ste 101
Dallas, TX 75238
Phone (214) 273-0510

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

5129 N Garland Ave
Ste 600
Garland, TX 75040
Phone (469) 838-4072

1515 N Town East Blvd
Ste 500
Mesquite, TX 75150
Phone (214) 273-2903

1450 E Belt Line Rd
Ste 200
Richardson, TX 75081
Phone (214) 210-4409

3005 Lakeview Pkwy
Ste 400
Rowlett, TX 75088
Phone (214) 607-9304

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1942782636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 WHITE ROCK TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752383347",
            "telephone_number": "214-355-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYANGANI",
        "first_name": "ISHEANESU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1308660",
            "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 Jun 11, 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.

Verify at the official NPI Registry.