Active NPI
Metroplex Integrative Rehabilitation Services
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1063947117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- METROPLEX INTEGRATIVE REHABILITATION SERVICES
- Doing business as
- Metroplex Health Group
- Practice address
- 4441 Bryant Irvin Rd N.
Fort Worth, TX 76107 - Phone
- (817) 921-3000
- Fax
- (817) 921-3001
- NPI assigned
- Apr 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Martin
- Title
- Chief of Administration
- Phone
- (817) 921-3000
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Physical Therapist | 225100000X | |||
| Family Nurse Practitioner | 363LF0000X | TX | ||
| Primary Care Nurse Practitioner | 363LP2300X | TX | ||
| Occupational Health Nurse Practitioner | 363LX0106X |
Addresses
Primary practice location
4441 Bryant Irvin Rd N.
Fort Worth, TX 76107
Mailing address
4441 Bryant Irvin Rd N.
Fort Worth, TX 76107
Phone (817) 921-3000
Other names 1
- Metroplex Health Group
National Provider Directory
National Provider Directory- Tax ID family
- Metroplex Integrative Rehabilitation Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Fort Worth, TX
- NPI 1265975056
-
- Chiropractor
- Fort Worth, TX
- NPI 1275068314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537401600000",
"number": "1063947117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 BRYANT IRVIN RD N.",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "817-921-3000",
"fax_number": "817-921-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 BRYANT IRVIN RD N.",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "817-921-3000",
"fax_number": "817-921-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPLEX INTEGRATIVE REHABILITATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-26",
"last_updated": "2018-09-20",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "CHIEF OF ADMINISTRATION",
"authorized_official_telephone_number": "817-921-3000"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Occupational Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Metroplex Health Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
- Metrocare Home Medical Equipment, Inc.
- Metrocare Home Medical Equipment, Inc.
- Metroplex Eye Care PLLC
- Metroplex Foot and Ankle Center, PLLC
- Metroplex Health Rehab, LLC
- Metroplex Integrative Rehabilitation Services
- Metroplex Integrative Rehabilitation Services
- Metroplex Intervenional Pain Care LP
- Metroplex Medical Centre - Fort Worth
- Metroplex Medical Rehabilitation & Sports Medicine PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.