Active NPI
M Jay Platt, P.T.
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1073634507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1029148
- Practice address
- 3735 Country Club Cir
Fort Worth, TX 76109-1035 - Phone
- (512) 638-1630
- Fax
- (817) 926-0118
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1029148 | TX | Primary |
Addresses
Primary practice location
3735 Country Club Cir
Fort Worth, TX 76109-1035
Mailing address
3735 Country Club Cir
Fort Worth, TX 76109-1035
Phone (512) 638-1630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1029148 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442102400000",
"number": "1073634507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3735 COUNTRY CLUB CIR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091035",
"telephone_number": "512-638-1630",
"fax_number": "817-926-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3735 COUNTRY CLUB CIR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091035",
"telephone_number": "512-638-1630",
"fax_number": "817-926-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATT",
"first_name": "M",
"middle_name": "JAY",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2015-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1029148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.