Organization Active NPI

Vista Physical Therapy -Tradition LLP

Doing business as Vista Physical Therapy

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1073965190
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VISTA PHYSICAL THERAPY -TRADITION LLP
Doing business as
Vista Physical Therapy
Practice address
5855 Milton St
Dallas, TX 75206-4202
Phone
(469) 310-1700
Fax
(469) 310-1701
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Craig Rettke, PTNPI 1831434125
Title
President
Phone
(972) 529-3691

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 Primary

Addresses

Primary practice location

5855 Milton St
Dallas, TX 75206-4202

Mailing address

5100 Eldorado Pkwy
102-20TR
McKinney, TX 75070-6510
Phone (469) 310-1700

Other names 1

  • Vista Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1073965190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY",
            "address_2": "102-20TR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706510",
            "telephone_number": "469-310-1700",
            "fax_number": "469-310-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 MILTON ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064202",
            "telephone_number": "469-310-1700",
            "fax_number": "469-310-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PHYSICAL THERAPY -TRADITION LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "RETTKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-529-3691",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.