Organization Active NPI

Something Amazing Home Therapy, LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1104457944
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Richard Shay Smith, PTNPI 1992008114
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL Kinnser

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.