Metroplex Medical Rehabilitation & Sports Medicine PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

K5755 Issued in TX

Legal business name

METROPLEX MEDICAL REHABILITATION & SPORTS MEDICINE PA

Practice address

6116 Oakbend TRL
Suite 112
Fort Worth, TX 76132-3925

Phone

(817) 423-9054

Fax

(817) 423-9719

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth J Lee, DO

Title

President

Phone

(817) 284-9850

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth J Buley, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1497714026
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1194776872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678596",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678595",
            "telephone_number": "817-423-9054",
            "fax_number": "817-423-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 OAKBEND TRL",
            "address_2": "SUITE 112",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323925",
            "telephone_number": "817-423-9054",
            "fax_number": "817-423-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX MEDICAL REHABILITATION & SPORTS MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-284-9850",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K5755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0033DV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178029801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0030PX",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0033DV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metroplex Integrative Rehabilitation Services
• Metroplex Integrative Rehabilitation Services
• Metroplex Integrative Rehabilitation Services
• Metroplex Intervenional Pain Care LP
• Metroplex Medical Centre - Fort Worth
• Metroplex Mental Health, PLLC
• Metroplex Moblie Diagnostics
• Metroplex Urology and Transplant Surgery PLLC
• Metropolitan Area EMS Authority
• Metx LLC

• Physical Medicine & Rehabilitation Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.