NPIMap

Organization Active NPI

Physiotherapy ASC

Doing business as Matrix North Dallas PT

  • Occupational Medicine Clinic/Center
  • Richardson, TX
National Provider Identifier
1154662468
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
112244 Issued in TX
Legal business name
PHYSIOTHERAPY ASC
Doing business as
Matrix North Dallas PT
Practice address
510 N Coit Rd
2035 Promenade Ctr
Richardson, TX 75080-5446
Phone
(972) 437-2048
Fax
(972) 480-8514
NPI assigned
Mar 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Tamara Kamphaus, PT
Title
Facility Director
Phone
(972) 437-2048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 112244 TX Primary

Addresses

Primary practice location

510 N Coit Rd
2035 Promenade Ctr
Richardson, TX 75080-5446

Mailing address

510 N Coit Rd
2035 Promenade Ctr
Richardson, TX 75080-5446
Phone (972) 437-2048

Other names 1

  • MATRIX NORTH DALLAS PT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physiotherapy ASC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1154662468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N COIT RD",
            "address_2": "2035 PROMENADE CTR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805446",
            "telephone_number": "972-437-2048",
            "fax_number": "972-480-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N COIT RD",
            "address_2": "2035 PROMENADE CTR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805446",
            "telephone_number": "972-437-2048",
            "fax_number": "972-480-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "KAMPHAUS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "972-437-2048",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "TX",
            "license": "112244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATRIX NORTH DALLAS PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

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