Active NPI
Something Amazing Home Therapy, LLC
- Physical Therapy Clinic/Center
- Fort Worth, TX
National Provider Identifier
1104457944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SOMETHING AMAZING HOME THERAPY, LLC
- Practice address
- 2550 Boyd Ave
Fort Worth, TX 76109-1021 - Phone
- (817) 480-3798
- Fax
- (888) 213-5031
- NPI assigned
- Jan 30, 2020
- 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
- Richard Shay Smith, PT
- Title
- Owner
- Phone
- (817) 480-3798
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2550 Boyd Ave
Fort Worth, TX 76109-1021
Mailing address
2550 Boyd Ave
Fort Worth, TX 76109-1021
Phone (817) 480-3798
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Kinnser |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200323001629 | TX | Part B Supplier - Clinic/Group Practice | 2567890767 |
Receives reassigned benefits from 5 practitioners Practice locations: Ft Worth, TX |
National Provider Directory
National Provider DirectoryLocations
202 W Rentz St
Ste 119
Weatherford, TX 76086
Phone (817) 480-3798
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Aledo, TX
- NPI 1447207683
-
- Physical Therapist
- Red Oak, TX
- NPI 1821274697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580342400000",
"number": "1104457944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 BOYD AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091021",
"telephone_number": "817-480-3798",
"fax_number": "888-213-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 BOYD AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091021",
"telephone_number": "817-480-3798",
"fax_number": "888-213-5031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMETHING AMAZING HOME THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "SHAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-480-3798",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Kinnser",
"affiliation": "N",
"address_1": "2550 Boyd Ave",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "76109",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.