Organization Active NPI

DFW FTBC 1 LLC

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1023723970
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DFW FTBC 1 LLC
Practice address
9665 N Central Expy Ste 120
Dallas, TX 75231-5073
Phone
(214) 989-4148
Fax
(945) 468-2882
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Quynh Nguyen
Title
Owner
Phone
(214) 989-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

9665 N Central Expy Ste 120
Dallas, TX 75231-5073

Mailing address

3237 Forestbrook Dr
Richardson, TX 75082-2691
Phone (214) 989-4148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230418001385 TX Part B Supplier - Clinic/Group Practice 0941675243 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

2515 Inwood Rd
Ste 229
Dallas, TX 75235
Phone (214) 989-4148

9665 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 989-4148

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1023723970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 FORESTBROOK DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822691",
            "telephone_number": "214-989-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9665 N CENTRAL EXPY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315073",
            "telephone_number": "214-989-4148",
            "fax_number": "945-468-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW FTBC 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUYNH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-989-4148"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.