NPIMap

Organization Active NPI

Arlington Physical Therapy PC

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1063422707
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
656190000 Issued in TX
Legal business name
ARLINGTON PHYSICAL THERAPY PC
Practice address
2310 Interstate 20 W
Suite 204
Arlington, TX 76017-1677
Phone
(817) 466-7276
Fax
(844) 283-4950
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Guillermo Morales, PTNPI 1639189491
Title
Owner
Phone
(817) 466-7276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 656190000 TX Primary

Addresses

Primary practice location

2310 Interstate 20 W
Suite 204
Arlington, TX 76017-1677

Mailing address

2310 Interstate 20 W
Suite 204
Arlington, TX 76017-1677
Phone (817) 466-7276

Other identifiers 2

IdentifierTypeStateIssuer
608640200OtherTXDEPARTMENT OF LABOR
0045MEOtherTXBCBS GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000520 TX Part B Supplier - Clinic/Group Practice 2668428681 Receives reassigned benefits from 7 practitioners
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

2310 W Interstate 20
Ste 204
Arlington, TX 76017
Phone (817) 466-7276

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1063422707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 INTERSTATE 20 W",
            "address_2": "SUITE 204",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171677",
            "telephone_number": "817-466-7276",
            "fax_number": "817-466-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 INTERSTATE 20 W",
            "address_2": "SUITE 204",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171677",
            "telephone_number": "817-466-7276",
            "fax_number": "844-283-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-466-7276",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "656190000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "608640200",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0045ME",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.