Individual provider Active NPI

Garrett Beutel

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1154931871
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4120 Heritage Trace Pkwy Ste 220
Fort Worth, TX 76244-5309
Phone
(817) 498-8585
NPI assigned
Aug 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4120 Heritage Trace Pkwy Ste 220
Fort Worth, TX 76244-5309

Mailing address

2803 Canyon Valley Dr
Richardson, TX 75080-1833
Phone (214) 763-1183

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019000377 TX Practitioner - Physical Therapist in Private Practice 4183044829 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy TX LLC Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Vista JV Partners LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Vista Rehab Partners LP Physical Therapist Past Accepting new patients

Locations

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

1101 Raintree Cir
Ste 150
Allen, TX 75013
Phone (214) 383-9939

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

3535 Travis St
Ste 160
Dallas, TX 75204
Phone (214) 346-9105

2720 Western Center Blvd
Ste 312
Fort Worth, TX 76131
Phone (817) 847-0200

4120 Heritage Trace Pkwy
Ste 220
Fort Worth, TX 76244
Phone (817) 741-7585

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

5060 Davis Blvd
North Richlnd Hls, TX 76180
Phone (817) 385-7102

6105 Windcom Ct
Ste 300
Plano, TX 75093
Phone (972) 781-1111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1154931871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 CANYON VALLEY DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801833",
            "telephone_number": "214-763-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 HERITAGE TRACE PKWY STE 220",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445309",
            "telephone_number": "817-498-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUTEL",
        "first_name": "GARRETT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "4120 Heritage Trace Pkwy Ste 220",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762445309",
            "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 Aug 6, 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.