Advanced Physical Therapy to Go LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

ADVANCED PHYSICAL THERAPY TO GO LLC

Practice address

5020 122ND Street
Suite 200
Lubbock, TX 79424-8398

Phone

(806) 705-7239

Fax

(806) 370-6536

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Bradley Veal

Title

Owner

Phone

(806) 239-8925

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Physical Therapy and Wellness Doing business as

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1265078596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 TOPEKA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 122ND STREET",
            "address_2": "SUITE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248398",
            "telephone_number": "806-705-7239",
            "fax_number": "806-370-6536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12112 Topeka Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794247677",
            "country_code": "US",
            "telephone_number": "806-705-7239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY TO GO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2021-09-17",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "VEAL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-239-8925"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4088940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopedic Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.