Organization Active NPI

Rehab Planet LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1114684032
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHAB PLANET LLC
Practice address
6262 Home Port Dr Apt 1530
Fort Worth, TX 76131-2389
Phone
(419) 378-1566
NPI assigned
Nov 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Pradeep RapalliNPI 1912247610
Title
Managing Member
Phone
(419) 378-1566

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

6262 Home Port Dr Apt 1530
Fort Worth, TX 76131-2389

Mailing address

6262 Home Port Dr Apt 1530
Fort Worth, TX 76131-2389
Phone (419) 378-1566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220302000259 TX Part B Supplier - Clinic/Group Practice 9032503362 Receives reassigned benefits from 1 practitioner
Practice locations: Keller, TX

National Provider Directory

National Provider Directory

Locations

1600 Keller Pkwy
Ste 102
Keller, TX 76248

1660 Keller Pkwy
Ste 102
Keller, TX 76248
Phone (682) 337-0075

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": "1637971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1114684032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 HOME PORT DR APT 1530",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761312389",
            "telephone_number": "419-378-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 HOME PORT DR APT 1530",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761312389",
            "telephone_number": "419-378-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB PLANET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-27",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "RAPALLI",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "419-378-1566"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Dec 15, 2021; 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.