Source 1 Medical Inc
NPI 1457016966 · Physical Therapist · Plano, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Source 1 Medical Inc is a Physical Therapist organization in Plano, TX (NPI 1457016966).
Provider details
- NPI number
- 1457016966
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- William Harrell, Chief Operations Officer(214) 808-2724
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Technologists, Technicians & Other Technical Service Providers
- Occupational Medicine Clinic/Center261QX0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 5601 Bridge St Ste 500Fort Worth, TX 76112-2352Phone: (817) 457-9850Fax: (817) 287-0001
- 5425 W Spring Creek Pkwy Ste 270Plano, TX 75024-4317Phone: (972) 801-2190Fax: (972) 801-2191
Registry dates
- Enumerated
- 2021-11-01
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is Source 1 Medical Inc's NPI number?
- Source 1 Medical Inc's National Provider Identifier (NPI) is 1457016966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Source 1 Medical Inc?
- Source 1 Medical Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Source 1 Medical Inc located?
- Source 1 Medical Inc's practice location on file with NPPES is 8080 Independence Pkwy Ste 110a, Plano, TX 75025-4000.
- What is Source 1 Medical Inc's phone number?
- The practice phone number listed in the NPPES registry for Source 1 Medical Inc is (469) 658-0100.
- Does Source 1 Medical Inc accept Medicare?
- Source 1 Medical Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Source 1 Medical Inc?
- The authorized official listed on Source 1 Medical Inc's NPPES record is William Harrell, Chief Operations Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Source 1 Medical Inc's NPI active?
- Yes — Source 1 Medical Inc's NPI (1457016966) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.