NPIMap

Organization Active NPI

Jason T Redler DC, Ryan Robinson DC, PLLC

Doing business as SportMed Chiropractic Fort Worth

  • Sports Physician Chiropractor
  • Fort Worth, TX
National Provider Identifier
1053771840
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
10353 Issued in TX
Legal business name
JASON T REDLER DC, RYAN ROBINSON DC, PLLC
Doing business as
SportMed Chiropractic Fort Worth
Practice address
615 Commerce St
Fort Worth, TX 76102-5450
Phone
(817) 479-9890
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Jason Todd Redler, D.C.
Title
Owner
Phone
(817) 439-9890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 10353 TX Primary

Addresses

Primary practice location

615 Commerce St
Fort Worth, TX 76102-5450

Mailing address

615 Commerce St
Fort Worth, TX 76102-5450
Phone (817) 479-9890

Other names 1

  • SportMed Chiropractic Fort Worth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jason T Redler DC Ryan Robinson DC PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1053771840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 COMMERCE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025450",
            "telephone_number": "817-479-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 COMMERCE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025450",
            "telephone_number": "817-479-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON T REDLER DC, RYAN ROBINSON DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "REDLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-439-9890",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SportMed Chiropractic Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.