NPI age
4 years
Enumerated 2021-10-15
● Active
Type 1 · Individual
Tonsel Jack
Jack is 1 of 1 pedorthist providers in Arlington and 1 of 25 in Texas.
Primary specialty
Pedorthist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 25 active pedorthist providers in Texas.
NPI age
4 years
↓ 4 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Practice location
1301 E Bardin Rd Unit 181801
Arlington, TX 760964272
Mailing address
1301 E Bardin Rd Unit 181801
Arlington, TX 760964272
Specialties
-
Pedorthist PrimaryAn individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 871002728 | PEDORTHIST |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.