Organization Active NPI

The Ranch Sports Medicine and Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Irving, TX
National Provider Identifier
1235288176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1061596 Issued in TX
Legal business name
THE RANCH SPORTS MEDICINE AND REHABILITATION CENTER
Practice address
10010 N Macarthur Blvd
Irving, TX 75063-5001
Phone
(972) 401-4774
Fax
(972) 401-0800
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Bell Stephenson II, P.T.NPI 1801916416
Title
President
Phone
(972) 401-4774

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 Therapy Clinic/Center 261QP2000X 1061596 TX Primary

Addresses

Primary practice location

10010 N Macarthur Blvd
Irving, TX 75063-5001

Mailing address

10010 N Macarthur Blvd
Irving, TX 75063-5001
Phone (972) 401-4774

Other identifiers 1

IdentifierTypeStateIssuer
82672TOtherTXBCBS PROVIDER #

National Provider Directory

National Provider Directory

Locations

10010 N MacArthur Blvd
Irving, TX 75063
Phone (972) 401-4774

Practitioners & affiliated clinicians

Practitioners 2

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235288176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635001",
            "telephone_number": "972-401-4774",
            "fax_number": "972-401-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635001",
            "telephone_number": "972-401-4774",
            "fax_number": "972-401-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RANCH SPORTS MEDICINE AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-401-4774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1061596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "82672T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.