Individual provider Active NPI

Ross Myatt, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1225552813
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4108 Boat Club Rd
Fort Worth, TX 76135-2604
Phone
(817) 238-9295
NPI assigned
Jul 26, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 NU Primary

Addresses

Primary practice location

4108 Boat Club Rd
Fort Worth, TX 76135-2604

Mailing address

6037 Harris Pkwy
Fort Worth, TX 76132-4103
Phone (817) 370-9891

Other identifiers 1

IdentifierTypeStateIssuer
192079501MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221212002931 TX Practitioner - Physical Therapist in Private Practice 4587033675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthotx PLLCGroup PAC ID 9739161704, 83 clinicians

Practice addresses (Care Compare)

800 Orthopedic Way
Dba Arlington Ortho
Arlington, TX 76015-1629
Phone (817) 375-5200

Merit-based Incentive Payment System (MIPS)

Final score
89.4 of 100Reported as group
Quality
77.91
Promoting interoperability
100
Improvement activities
40
Cost
86.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotx, PLLC CurrentSince Oct 3, 2022 Accepting new patients
Orthotx, PLLC CurrentSince Oct 3, 2022 Accepting new patients
Wedgwood Eyecare PC PastSince Mar 27, 2020 Accepting new patients
Sportherapy LLC Physical Therapist PastSince Sep 1, 2019 Accepting new patients
Sportherapy Southwest, PC Physical Therapist Past Accepting new patients

Locations

701 Highlander Blvd
#370
Arlington, TX 76015

800 Orthopedic Way
Arlington, TX 76015
Phone (817) 375-5375

Interoperability endpoints

  • Direct secure messaging: ross.myatt.1@15749.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1225552813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6037 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324103",
            "telephone_number": "817-370-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352604",
            "telephone_number": "817-238-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYATT",
        "first_name": "ROSS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192079501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.