Individual provider Active NPI

Suzette Gyempeh, PT, DPT

  • Physical Therapist
  • Garland, TX
National Provider Identifier
1952793580
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1255489 Issued in TX
Practice address
705 Walter Reed Blvd Ste 100
Garland, TX 75042-5726
Phone
(972) 487-5570
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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 1255489 TX Primary

Addresses

Primary practice location

705 Walter Reed Blvd Ste 100
Garland, TX 75042-5726

Mailing address

4753 Old Bent Tree LN
Apt 709
Dallas, TX 75287-7136

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

LicenseStateTypeSpecialty
1255489TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1952793580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 OLD BENT TREE LN",
            "address_2": "APT 709",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WALTER REED BLVD STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425726",
            "telephone_number": "972-487-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYEMPEH",
        "first_name": "SUZETTE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1255489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.