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NPI Code Detail

MEDICARE: JOHN TYLER SEGALINE DPT

MEDICARE: JOHN TYLER SEGALINE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistTX

General Provider Information

NPI Number : 1275491953
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN TYLER SEGALINE DPT
Provider Business Mailing Address
First Line : 5406 GLEN VISTA DR
Second Line :
City : GARLAND
State : TX
Zip : 75044-4664
Country : US
Telephone Number : 915-204-5354
Fax Number :
Provider Business Practice Location Address
First Line : 4430 LAVON DR STE 340
Second Line :
City : GARLAND
State : TX
Zip : 75040-2974
Country : US
Telephone Number : 972-495-5416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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