Unknown Individual – Physical Therapist, NPI 1962524397

Unknown Individual is a healthcare provider. based in Temple, Texas. specializing in Physical Therapist. They hold a License No. 1132926 (TX). The NPI Number for Unknown Individual is 1962524397

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962524397
Phone
(918) 520-9675
Address
404 S FRYERS CREEK CIR
Deactivation Date
15 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9188087725
Graduation Year
1966 (60 years ago)
PAC ID
0446596753
Group Practice PAC ID
8628353067
Professional Enrollment ID
I20190108001182
Data current as of
19 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

  • 404 S FRYERS CREEK CIR

    APT. 502

    TEMPLE, TX 765047825

    Phone: (918) 520-9675

    Type: Mailing

  • 3212 COUNTY ROAD 530B

    BURLESON, TX 760286108

    Phone: (817) 426-5229

    Type: Location

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 76504)

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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: 8628353067View full group profile
NameSpecialtyState
-OK

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1962524397 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Physical Therapist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Temple, Texas may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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