Conciergept, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CONCIERGEPT, LLC

Practice address

6226 Malcolm Dr
Dallas, TX 75214-3020

Phone

(734) 276-5058

NPI assigned

Mar 14, 2020

Organization subpart

No

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

Authorized official

Name

Louise Polanco

Title

Owner

Phone

(734) 276-5058

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1033745740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 MALCOLM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 MALCOLM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143020",
            "telephone_number": "734-276-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGEPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-276-5058"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.