Justin Frazier
NPI 1144865163ActiveIndividual· Physical Therapist· Southlake, TX
Physical Therapist with Ideal Physical Therapy of Texas LLC, practicing in Southlake, Texas. Medicare paid $27,041 for services to 200 patients in 2024.
Overview
| NPI | 1144865163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 13, 2019 |
| Last updated in NPPES | Jun 21, 2024 |
| Certified by provider | Jun 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1321645 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 200 |
|---|---|
| Services billed | 1,279 across 9 procedure codes |
| Paid by Medicare | $27,041 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ideal Physical Therapy of Texas LLCCarrollton, TX · 364 clinicians
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All 128 physical therapists in Southlake · All physical therapists in Texas