Organization Active NPI

Athlete Restoration Lab, LLC

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1205642121
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATHLETE RESTORATION LAB, LLC
Practice address
6155 Sports Village Rd Ste 400
Frisco, TX 75033-3578
Phone
(877) 735-2201
NPI assigned
Dec 5, 2024
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Jared Gillespie, PTNPI 1386964609
Title
Co-Owner
Phone
(913) 620-0040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

6155 Sports Village Rd Ste 400
Frisco, TX 75033-3578

Mailing address

6155 Sports Village Rd Ste 400
Frisco, TX 75033-3578

Other practice location 1

3712 E Plano Pkwy Ste 100B
Plano, TX 75074-1833
Phone (877) 735-2201

Other practice location 2

360 Stonebrook Pkwy Ste 107
Frisco, TX 75036-5317
Phone (877) 735-2201

Other practice location 3

529 Industrial Blvd Ste 101
Grapevine, TX 76051-8609
Phone (877) 735-2201 ext. 00040

National Provider Directory

National Provider Directory

Locations

6155 Sports Village Rd
Ste 400
Frisco, TX 75033
Phone (214) 618-3246

529 Industrial Blvd
Ste 101
Grapevine, TX 76051
Phone (817) 313-2988

3712 E Plano Pkwy
Ste 100B
Plano, TX 75074
Phone (281) 889-1256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1205642121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 SPORTS VILLAGE RD STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 SPORTS VILLAGE RD STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333578",
            "telephone_number": "877-735-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3712 E Plano Pkwy Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750741833",
            "country_code": "US",
            "telephone_number": "877-735-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Stonebrook Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750365317",
            "country_code": "US",
            "telephone_number": "877-735-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "529 Industrial Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760518609",
            "country_code": "US",
            "telephone_number": "877-735-2201 x00040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATHLETE RESTORATION LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "913-620-0040",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.