NPIMap

Organization Active NPI

Greater Lewisville Therapy Center Inc

  • Physical Therapist
  • Terrell, TX
National Provider Identifier
1164197877
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GREATER LEWISVILLE THERAPY CENTER INC
Practice address
301B S Virginia St
Terrell, TX 75160-3717
Phone
(972) 524-9100
Fax
(833) 234-1856
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Dena K Aitken, PT
Title
Chief Operating Officer-GTC
Phone
(972) 420-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

301B S Virginia St
Terrell, TX 75160-3717

Mailing address

966 N Garden Ridge Blvd Ste 530
Lewisville, TX 75077-2876
Phone (972) 420-6605

Other names 1

  • Greater Therapy Centers-Terrell Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000616 TX Part B Supplier - Clinic/Group Practice 0547247108 Receives reassigned benefits from 19 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mesquite, TX; Plano, TX; Terrell, TX; Lewisville, TX; Fort Worth, TX; Dallas, TX; Carrollton, TX; Arlington, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Greater Lewisville Therapy Center Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

966 N Garden Ridge Blvd
Ste 530
Lewisville, TX 75077
Phone (972) 420-6605

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": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1164197877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 N GARDEN RIDGE BLVD STE 530",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772876",
            "telephone_number": "972-420-6605",
            "fax_number": "844-965-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301B S VIRGINIA ST",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751603717",
            "telephone_number": "972-524-9100",
            "fax_number": "833-234-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LEWISVILLE THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "AITKEN",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER-GTC",
        "authorized_official_telephone_number": "972-420-6605",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Therapy Centers-Terrell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.