Ideal Physical Therapy of Texas LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IDEAL PHYSICAL THERAPY OF TEXAS LLC

Practice address

12222 Coit Rd Ste 200
Dallas, TX 75251-2302

Phone

(972) 979-6577

NPI assigned

Feb 26, 2020

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matt Kirk

Title

Director

Phone

(708) 710-9931

Specialties & licenses 3

Addresses

Member of 2

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

• Athletic and Therapeutic Institute of Naperville, LLC

  dba ATI Physical Therapy Joliet WSW

  • Physical Therapist
  • Joliet, IL
  • NPI 1689902264

  Member Of

  NPD member
• Ati Holdings, LLC

  dba ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Dover, DE
  • NPI 1356500193

  Member Of

  NPD member

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1093349342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 COIT RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512302",
            "telephone_number": "972-979-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PHYSICAL THERAPY OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-710-9931"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Dental of Schertz PLLC
• Ideal Dental of University Park, PLLC
• Ideal Dental of Uptown
• Ideal Dental of Valley Ranch PLLC
• Ideal Home Health, Inc
• Idell Psychiatry
• Idental
• Idental
• Audrey Idom
• Ahamed H Idris, MD

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.