MR. RAYMOND A TILL (NPI# 1255601415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255601415 |
| Entity Type | Individual |
| Full Name | MR. RAYMOND A TILL |
| Credential | P.T. |
| Practice Address |
1643 Lancaster Dr Suite 100 Grapevine TX 76051-3593 |
| Practice Telephone | 8173292524 |
| Practice Fax Number | 8173292685 |
| Mailing Telephone | 8173292524 |
| Mailing Fax Number | 8173292685 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1034007 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1643 LANCASTER DR SUITE 100 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070362 | Richard J. Feingold | Internal Medicine | 1643 Lancaster Dr, Suite 203, Grapevine, TX 76051-3593 | 2005-08-12 |
| 1568929081 | Christina Sutton | Occupational Therapist | 1643 Lancaster Dr, Grapevine, TX 76051-3593 | 2019-02-21 |
| 1992252498 | Yanjing Xiao | Occupational Therapist | 1643 Lancaster Dr, Suite 100, Grapevine, TX 76051-3593 | 2016-09-01 |
| 1013372036 | Lighthouse Medical Services Pllc | Clinic/Center | 1643 Lancaster Dr, Suite 202, Grapevine, TX 76051-3593 | 2015-12-17 |
| 1639546989 | Mallory Elliott | Physical Therapist | 1643 Lancaster Dr, Ste 100, Grapevine, TX 76051-3593 | 2015-08-21 |
| 1275931545 | Seasons Medical Group of Texas, Pllc | Internal Medicine | 1643 Lancaster Dr, Ste 203, Grapevine, TX 76051-3593 | 2014-12-18 |
| 1902238512 | Amy Lynn Zagurski | Nurse Practitioner | 1643 Lancaster Dr, Ste. 203, Grapevine, TX 76051-3593 | 2013-08-06 |
| 1578806022 | Monica Stettler-kha | Speech-Language Pathologist | 1643 Lancaster Dr, Ste 100, Grapevine, TX 76051-3593 | 2013-04-03 |
| 1154691277 | Kammi L Barnard | Physical Therapist | 1643 Lancaster Dr, Suite 100, Grapevine, TX 76051-3593 | 2012-01-05 |
| 1477830156 | Rebecca Myers | Occupational Therapist | 1643 Lancaster Dr, Suite 100, Grapevine, TX 76051-3593 | 2011-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528377447 | Jeffrey Atkins Caraway | Physical Therapist | 2535 Ira E Woods Ave, Grapevine, TX 76051-3930 | 2010-09-27 |
| 1578755062 | Jennifer Moreland | Physical Therapist | 1217 Ira E Woods Ave, Grapevine, TX 76051-4023 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837889 | Jeremy Tan | Physical Therapist | 505 S Friendswood Dr Ste 101, Friendswood, TX 77546-2254 | 2020-10-06 |
| 1184232100 | Cindy Hon Pt Pllc | Physical Therapist | 3832 Gildas Path, Pflugerville, TX 78660-4168 | 2020-07-15 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1790300226 | Jave Del Rosario | Physical Therapist | 3601 N Macgregor Way Ste 514, Houston, TX 77004-8004 | 2020-06-10 |
| 1922634724 | Carra Dudley | Physical Therapist | 415 E Parkwood Ave, Friendswood, TX 77546-5149 | 2020-03-13 |
| 1013542513 | Alexis Nicole Shoope | Physical Therapist | 3300 Cummins St Apt 2329, Houston, TX 77027-5992 | 2020-03-05 |
| 1861026437 | Robin Elizabeth Mcgee | Physical Therapist | 2555 Gulf Fwy S Ste 400, League City, TX 77573-6742 | 2020-02-23 |
| 1811520612 | Christopher William Chenault X | Physical Therapist | 14857 Southwest Fwy # C303, Sugar Land, TX 77478-5016 | 2020-02-20 |
| 1770116584 | Jordan William Ordoyne | Physical Therapist | 545 Creekside Xing Ste 138, New Braunfels, TX 78130-4271 | 2020-02-20 |
| 1972136851 | Nicole Marie Baker | Physical Therapist | 9180 Pinecroft Dr, Shenandoah, TX 77380-2794 | 2020-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.