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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathan Phan Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southlake, TX 76092
- Reassigned Medicare billing, Texas enrollment
- 474 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Jonathan Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Phan reassigns Medicare benefits to Texas Luna Care Physical Therapy LLC (Southlake, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 11 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.