Summer Sides, PT
NPI 1780206805ActiveIndividual· Physical Therapist· Stephenville, TX
Physical Therapist (PT) with Dpt Physical Therapy and Performance and 1 other group, practicing in Stephenville, Texas. Medicare paid $22,606 for services to 20 patients in 2024.
Overview
| NPI | 1780206805 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | May 12, 2020 |
| Last updated in NPPES | Jan 20, 2022 |
| Certified by provider | Jan 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1329539 | 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 | 20 |
|---|---|
| Services billed | 1,146 across 13 procedure codes |
| Paid by Medicare | $22,606 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Dpt Physical Therapy and PerformanceStephenville, TX · 14 clinicians
- Propel Physical Therapy Services LLCCedar Park, TX · 4 clinicians
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All 33 physical therapists in Stephenville · All physical therapists in Texas