Paragon Care Outpatient PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PARAGON CARE OUTPATIENT PT LLC

Doing business as

Paragon Care Physical Therapy

Practice address

8330 Abrams Rd Ste 104
Dallas, TX 75243-7590

Phone

(214) 850-1851

NPI assigned

Jan 22, 2024

Last updated

Aug 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott BoothNPI 1114798493

Title

PT, DPT/ Owner

Phone

(214) 850-1851

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paragon Care Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Scott Booth

  • Physical Therapist
  • Dallas, TX
  • NPI 1114798493
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1063273563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 GRANDVIEW AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752231504",
            "telephone_number": "585-748-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 ABRAMS RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437590",
            "telephone_number": "214-850-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON CARE OUTPATIENT PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PT, DPT/ OWNER",
        "authorized_official_telephone_number": "214-850-1851"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1114798439",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Care Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paragon Anesthesia Institute PLLC
• Paragon Office Services LLC
• Paragon Office Surgery Services LLC
• Divya Paramasivam, DPM
• Anand Marangattu Parameswaran, MD
• Paramount DME Supplies LLC

• 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 Aug 5, 2024; 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.