Individual provider Active NPI

Valerie Elizabeth Marie Dutton, PT, DPT

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1962959924
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1280070 Issued in TX
Practice address
5480 FM 423 Ste 2100
Frisco, TX 75036-7914
Phone
(214) 494-4643
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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 1280070 TX Primary

Addresses

Primary practice location

5480 FM 423 Ste 2100
Frisco, TX 75036-7914

Mailing address

5480 FM 423 Ste 2100
Frisco, TX 75036-7914
Phone (214) 494-4643

Other names 1

  • Valerie Elizabeth Guajardo Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170201000603 TX Practitioner - Physical Therapist in Private Practice 4981987773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fit Physical Therapy LLCGroup PAC ID 3072749753, 10 clinicians

Practice addresses (Care Compare)

5480 FM
423 Suite 2100
Frisco, TX 75036-7914
Phone (214) 494-4643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1280070TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Physical Therapy, LLC CurrentSince Nov 12, 2016 Accepting new patients

Locations

5480 FM 423
Ste 2100
Frisco, TX 75036
Phone (214) 494-4643

279 Main St
Ste 114
Frisco, TX 75036
Phone (214) 494-4643

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1962959924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 FM 423 STE 2100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750367914",
            "telephone_number": "214-494-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 FM 423 STE 2100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750367914",
            "telephone_number": "214-494-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "VALERIE",
        "middle_name": "ELIZABETH MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1280070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "GUAJARDO",
            "middle_name": "ELIZABETH",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 13, 2021; 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.