Optum Health & Sport Therapy

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13362 Issued in TX

Legal business name

OPTUM HEALTH & SPORT THERAPY

Practice address

201 Town Center LN
Suite 1111
Keller, TX 76248-2158

Phone

(817) 697-2392

NPI assigned

Dec 22, 2016

Last updated

Dec 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brooke Ann Halboth, DC

Title

Chiropractor

Phone

(817) 789-5767

Specialties & licenses 1

Addresses

Tax ID family

Optum Health and Sport Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Optum Health and Sport Therapy

  • Occupational Therapist
  • Keller, TX
  • NPI 1407394851
  NPD tax ID

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1205371556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TOWN CENTER LN",
            "address_2": "SUITE 1111",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TOWN CENTER LN",
            "address_2": "SUITE 1111",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482158",
            "telephone_number": "817-697-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM HEALTH & SPORT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "HALBOTH",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "817-789-5767",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ochuele Odumosu, M.D.
• Oluwaseun Odumosu, MD
• Michalla Oldham
• Marshall A Olson, DDS
• Omar a. Gomez, M.D.,P.a. (Kid Care Pediatrics)
• Optum Health and Sport Therapy
• Oral Cancer Reconstructive Surgeons of Texas PLLC
• Isabelle Marie Ormiston, M.A. CCC-SLP
• Connor Orr
• Brittney Nicole Orren, OTR

• Chiropractor in Keller, TX
• Providers in Keller, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.