JUSTIN C TALLARD (NPI# 1841830122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841830122 |
| Entity Type | Individual |
| Full Name | JUSTIN C TALLARD |
| Credential | PT |
| Practice Address |
4885 Alpha Rd Ste 135 Dallas TX 75244-4637 |
| Mailing Address |
4142 Herschel Ave Apt 107 Dallas TX 75219-3078 |
| Practice Telephone | 6082353393 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
1301915 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4885 ALPHA RD STE 135 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506157 | Emma Julia Regenbaum | Physical Therapist | 19200 Preston Rd # 120, Dallas, TX 75252-2450 | 2020-07-22 |
| 1770048415 | Cortney L Norwood | Physical Therapist | 1015 N Carroll Ave Ste 100, Dallas, TX 75204-6613 | 2019-02-06 |
| 1003368820 | Benjamin Volkman | Physical Therapist | 8081 Walnut Hill Ln, Dallas, TX 75231-4313 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603592 | Dorcas Copa | Physical Therapist | 1612 Stuart St, Houston, TX 77004-2945 | 2020-03-11 |
| 1669007761 | Kyle Barnett | Physical Therapist | 14216 Vernon Ave, Lubbock, TX 79423-7715 | 2020-03-09 |
| 1023643517 | Kevin Maloney | Physical Therapist | 2206 Stuart St, Houston, TX 77004-3151 | 2020-03-05 |
| 1427682673 | Thomas Latimore | Physical Therapist | 9305 Pinecroft Dr Ste 450, The Woodlands, TX 77380-3483 | 2020-02-26 |
| 1871127001 | Steven Higbie | Physical Therapist | 17520 W Grand Pkwy S Ste 100, Sugar Land, TX 77479-4759 | 2020-02-26 |
| 1881234474 | Brian Nguyen | Physical Therapist | 16636 House Hahl Rd, Cypress, TX 77433-5357 | 2020-01-10 |
| 1992355622 | Steven Islas | Physical Therapist | 2700 W Sam Houston Pkwy N, Houston, TX 77043-1608 | 2019-09-15 |
| 1316591886 | John Walter Warner Jr. | Physical Therapist | 18200 Katy Fwy. Wa.0540.01, Houston, TX 77094 | 2019-08-01 |
| 1366907164 | Haiely Marie Schurr | Physical Therapist | 5904 Willowross Way, Plano, TX 75093-5986 | 2019-02-05 |
| 1922562073 | Anthony Patrick Perales | Physical Therapist | 11133 Ssg Sims St, Fort Bliss, TX 79906 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
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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.