Unknown Individual – Physical Therapist, NPI 1164647012

Unknown Individual is a healthcare provider. based in Glen rose, Texas. specializing in Physical Therapist. They hold a License No. 1011609 (TX). The NPI Number for Unknown Individual is 1164647012

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164647012
Phone
(214) 724-3032
Address
PO BOX 829
Deactivation Date
18 September 2024
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

  • PO BOX 829

    GLEN ROSE, TX 760430829

    Phone: (214) 724-3032

    Type: Mailing

  • 2535 LONE STAR DR

    DALLAS, TX 752126313

    Phone: (214) 467-9787

    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

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

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

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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 76043)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1164647012 in the public NPI dataset.
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.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Glen Rose, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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