Active NPI
Physicare, Inc.
- Physical Medicine & Rehabilitation Physician
- Weatherford, TX
National Provider Identifier
1013240241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1142586
- Legal business name
- PHYSICARE, INC.
- Practice address
- 879 Eureka
Weatherford, TX 76086 - Phone
- (817) 594-9200
- Fax
- (817) 594-9202
- NPI assigned
- Sep 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Luke J. Haynes, M.P.T.
- Title
- Owner/Physical Therapist
- Phone
- (817) 594-9200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1142586 | TX | Primary |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
879 Eureka
Weatherford, TX 76086
Mailing address
P.O. Box 2306
Weatherford, TX 76086
Phone (817) 594-9200
Other names 1
- Panker County Physical Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1013240241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2306",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "76086",
"telephone_number": "817-594-9200",
"fax_number": "817-594-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 EUREKA",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "76086",
"telephone_number": "817-594-9200",
"fax_number": "817-594-9202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-04",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "LUKE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "817-594-9200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.P.T."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "1142586",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Panker County Physical Therapy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.