Active NPI
DFW FTBC 1 LLC
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
National Provider Identifier
1023723970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Dallas, TX
- NPI 1174337216
-
- Physical Therapist
- Dallas, TX
- NPI 1851276497
-
- Physical Therapist
- Frisco, TX
- NPI 1477384097
-
- Physical Therapist
- Dallas, TX
- NPI 1841011277
-
- Dentist
- Richardson, TX
- NPI 1174021760
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.