Organization Active NPI

Metroplex Integrative Rehabilitation Services

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1275068314
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
METROPLEX INTEGRATIVE REHABILITATION SERVICES
Practice address
5703 Westcreek Dr
Fort Worth, TX 76133-3301
Phone
(817) 921-3000
Fax
(817) 921-3001
NPI assigned
Apr 26, 2017
Last updated
Apr 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Teresa Martin
Title
Chief Administration Officer
Phone
(817) 921-3000

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 69237 TX
Chiropractor 111N00000X TX Primary
Pain Medicine Physician 208VP0000X J6589 TX
Physical Therapist 225100000X 1068195 TX
Occupational Health Nurse Practitioner 363LX0106X AP133741 TX

Addresses

Primary practice location

5703 Westcreek Dr
Fort Worth, TX 76133-3301

Mailing address

5703 Westcreek Dr
Fort Worth, TX 76133-3301
Phone (817) 921-3000

National Provider Directory

National Provider Directory
Tax ID family
Metroplex Integrative Rehabilitation Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5703 Westcreek Dr
Ft Worth, TX 76133
Phone (817) 294-0731

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1275068314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 WESTCREEK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333301",
            "telephone_number": "817-921-3000",
            "fax_number": "817-921-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 WESTCREEK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333301",
            "telephone_number": "817-921-3000",
            "fax_number": "817-921-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX INTEGRATIVE REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATION OFFICER",
        "authorized_official_telephone_number": "817-921-3000"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "69237",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "J6589",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1068195",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "TX",
            "license": "AP133741",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 26, 2017; 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.