Unknown Individual – Physical Therapist, NPI 1407158785

Unknown Individual is a healthcare provider. based in Amarillo, Texas. specializing in Physical Therapist. They hold a License No. 1110856 (TX). The NPI Number for Unknown Individual is 1407158785

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407158785
Phone
(806) 418-4185
Address
113 TURTLE CREEK DR
Deactivation Date
1 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063557633
Graduation Year
1996 (30 years ago)
PAC ID
7214115773
Group Practice PAC ID
3072791532
Professional Enrollment ID
I20110705000143
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 113 TURTLE CREEK DR

    AMARILLO, TX 791188020

    Phone: (806) 418-4185

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79118)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYTX97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1792113
PHYSICAL THERAPYTX97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes36354

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072791532View full group profile
NameSpecialtyState
-OK
-TX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
-TX
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1407158785 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Physical Therapist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Amarillo, Texas on file for Unknown Individual alongside any extra practice locations.
What if Amarillo, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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