Organization Active NPI

Mobile Physical Therapy

Doing business as Granbury Physical Therapy

  • Physical Therapist
  • Granbury, TX
National Provider Identifier
1053452714
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
627890000 Issued in TX
Legal business name
MOBILE PHYSICAL THERAPY
Doing business as
Granbury Physical Therapy
Practice address
1301 Paluxy Rd
Granbury, TX 76048-5663
Phone
(817) 573-8204
Fax
(817) 573-8472
NPI assigned
Feb 8, 2007
Last updated
Sep 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Julie Ann Tout
Title
Office Manager
Phone
(817) 573-8204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 627890000 TX Primary

Addresses

Primary practice location

1301 Paluxy Rd
Granbury, TX 76048-5663

Mailing address

1301 Paluxy Rd
Granbury, TX 76048-5663
Phone (817) 573-8204

Other names 1

  • Granbury Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1301 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-8204

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1053452714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485663",
            "telephone_number": "817-573-8204",
            "fax_number": "817-573-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485663",
            "telephone_number": "817-573-8204",
            "fax_number": "817-573-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "TOUT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-573-8204"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "627890000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granbury Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.