Heb Physical Therapy and Sports Rehabilitation Clinic PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1029049 Issued in TX

Legal business name

HEB PHYSICAL THERAPY AND SPORTS REHABILITATION CLINIC PC

Practice address

2901 Martin Dr Ste B
Bedford, TX 76021-3839

Phone

(817) 545-7500

Fax

(817) 545-9793

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Roy Miller, PTNPI 1578645578

Title

Owner Staff Physical Therapist

Phone

(817) 545-7500

Specialties & licenses 1

Addresses

Practitioners 1

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

• John Roy Miller, PT

  • Physical Therapist
  • Bedford, TX
  • NPI 1578645578
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295815702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 B MARTIN DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "817-545-7500",
            "fax_number": "817-545-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MARTIN DR STE B",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213839",
            "telephone_number": "817-545-7500",
            "fax_number": "817-545-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEB PHYSICAL THERAPY AND SPORTS REHABILITATION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER STAFF PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "817-545-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1029049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Bedford, TX
• Providers in Bedford, TX by specialty
• Physical Therapy Clinic/Center in Texas

• 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.