Organization Active NPI

PT Home Services of Dallas, Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1285613455
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002683 Issued in TX
Legal business name
PT HOME SERVICES OF DALLAS, INC
Doing business as
PT Home Services of Dallas, Inc
Practice address
8200 Brookriver Dr
#N503
Dallas, TX 75247-4069
Phone
(241) 678-0507
Fax
(214) 678-0766
NPI assigned
Jan 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Mr. Robert Marx
Title
President/Board Member
Phone
(718) 468-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 002683 TX Primary

Addresses

Primary practice location

8200 Brookriver Dr
#N503
Dallas, TX 75247-4069

Mailing address

8150 Brookriver Drive
Suite S110
Dallas, TX 75247-7205
Phone (214) 678-0507

Other identifiers 1

IdentifierTypeStateIssuer
024878301MedicaidTX

Other names 1

  • PT Home Services of Dallas, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

8150 Brookriver Dr
Ste S110
Dallas, TX 75247
Phone (214) 678-0507

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1285613455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 BROOKRIVER DRIVE",
            "address_2": "SUITE S110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752477205",
            "telephone_number": "214-678-0507",
            "fax_number": "214-678-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 BROOKRIVER DR",
            "address_2": "#N503",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474069",
            "telephone_number": "241-678-0507",
            "fax_number": "214-678-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT HOME SERVICES OF DALLAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/BOARD MEMBER",
        "authorized_official_telephone_number": "718-468-4747",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024878301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT Home Services of Dallas, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PT Home Services of Dallas, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.