JONATHAN PHAN PT, DPT
NPI 1518836600
Physical Therapist in Southlake, TX
About Jonathan Phan Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN PHAN PT, DPT (NPI 1518836600) is an individual physical therapist in Southlake, Texas, licensed in Texas (1406843) and active in the NPI registry since November 2025. He is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathan Phan Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonathan Phan's NPI number?
The NPI number for Jonathan Phan is 1518836600. It was assigned to this individual provider in the NPPES registry on November 5, 2025.
Where is Jonathan Phan located?
Jonathan Phan practices at 180 State St Ste 225, Southlake, TX 76092. The listed phone number is (866) 839-6979.
What is Jonathan Phan's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jonathan Phan enrolled in Medicare?
Yes. Jonathan Phan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jonathan Phan was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.