Provider Demographics
NPI:1023762739
Name:TAPIA, JAVIER JAIME (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:JAIME
Last Name:TAPIA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 LAKEVIEW PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4595
Mailing Address - Country:US
Mailing Address - Phone:972-412-4926
Mailing Address - Fax:972-412-4926
Practice Address - Street 1:8120 LAKEVIEW PKWY STE 400
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4595
Practice Address - Country:US
Practice Address - Phone:972-412-4926
Practice Address - Fax:972-412-4934
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1248982225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist