Pinnacle Sportscare, LLP

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PINNACLE SPORTSCARE, LLP

Doing business as

Pinnacle Physical Therapy

Practice address

2303 Ira E Woods Ave
Building B
Grapevine, TX 76051-3926

Phone

(817) 310-3737

Fax

(817) 310-3736

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Craig Rettke

Title

Partner

Phone

(972) 529-3691

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pinnacle Physical Therapy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Vista Rehab Partners, LP

  • Physical Therapist
  • Haltom City, TX
  • NPI 1831435437

  Member Of

  NPD member

Locations

Practitioners 1

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

• Jennifer Mietus, P.T.

  • Physical Therapist
  • Grapevine, TX
  • NPI 1679560726
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1073500070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W ELDORADO PKWY",
            "address_2": "#102-20PPT",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706309",
            "telephone_number": "817-310-3737",
            "fax_number": "817-310-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 IRA E WOODS AVE",
            "address_2": "BUILDING B",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513926",
            "telephone_number": "817-310-3737",
            "fax_number": "817-310-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE SPORTSCARE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "RETTKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-529-3691"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0092KM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenix One Health Solutions LLC
• Sylvia Lois Pierce
• Sharon Johnston Pignolet, D.C.
• Cassandra Pineda
• Pinnacle Health Facilities XV LP
• Tamisha Renee Piper, PA C
• Flavia Almeida Pires Ziegler
• Bailey Nicole Pittman, MS, LPC
• Stephanie Poinsatte, LPC-A
• Lorena Polanco

• Physical Therapist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.