Physicare, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

652460000 Issued in TX

Legal business name

PHYSICARE, INC.

Practice address

879 Eureka St
Weatherford, TX 76086-5807

Phone

(817) 594-9200

Fax

(817) 594-9202

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Luke Jason Haynes, P.T.

Title

President

Phone

(817) 594-9200

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1124025150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760860237",
            "telephone_number": "817-594-9200",
            "fax_number": "817-594-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 EUREKA ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865807",
            "telephone_number": "817-594-9200",
            "fax_number": "817-594-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-594-9200",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "652460000",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Phillips, RD/LD
• Robert E Phillips, DDS
• Shae Phillips, DPT
• Physicare Ancillary Service Corporation
• Physicare, Inc.
• Jayna Picantine-Kobs
• Andrea Estelle Pietila
• La'Shundra Shinell Plunkett, DO
• Podiatry Associates of Weatherford
• George Alexander Polansky II

• Physical Therapy Clinic/Center in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.