NPIMap

Organization Active NPI

Advanced Physical Therapy to Go LLC

Doing business as Advanced Physical Therapy and Wellness

  • Orthopedic Physical Therapist
  • Lubbock, TX
National Provider Identifier
1265078596
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ADVANCED PHYSICAL THERAPY TO GO LLC
Doing business as
Advanced Physical Therapy and Wellness
Practice address
5020 122ND Street
Suite 200
Lubbock, TX 79424-8398
Phone
(806) 705-7239
Fax
(806) 370-6536
NPI assigned
Nov 21, 2019
Last updated
Sep 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Bradley VealNPI 1316233026
Title
Owner
Phone
(806) 239-8925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

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

Mailing address

12112 Topeka Ave
Lubbock, TX 79424-7677

Other practice location 1

12112 Topeka Ave
Lubbock, TX 79424-7677
Phone (806) 705-7239

Other names 1

  • Advanced Physical Therapy and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

5020 122nd St
Ste 200
Lubbock, TX 79424
Phone (806) 705-7239

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": "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": [],
    "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"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • 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.