NPIMap

Organization Active NPI

Doctors Hospital at White Rock Lake

  • Physical Therapy Clinic/Center
  • Dallas, TX
National Provider Identifier
1306246152
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1141984 Issued in TX
Legal business name
DOCTORS HOSPITAL AT WHITE ROCK LAKE
Practice address
9330 Poppy Dr Ste 100
Dallas, TX 75218-4622
Phone
(214) 324-6000
Fax
(214) 324-6297
NPI assigned
Aug 29, 2014
Last updated
Aug 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Keri WalakovitsNPI 1053711564
Title
Rehabilitation Services Director
Phone
(214) 324-6000

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
Physical Therapy Clinic/Center 261QP2000X 1141984 TX Primary

Addresses

Primary practice location

9330 Poppy Dr Ste 100
Dallas, TX 75218-4622

Mailing address

9330 Poppy Dr Ste 100
Dallas, TX 75218-4622
Phone (214) 324-6000

National Provider Directory

National Provider Directory
Tax ID family
Sierra Medical Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

9330 Poppy Dr
Ste 100
Dallas, TX 75218
Phone (214) 324-6000

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": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1306246152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184622",
            "telephone_number": "214-324-6000",
            "fax_number": "214-324-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184622",
            "telephone_number": "214-324-6000",
            "fax_number": "214-324-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HOSPITAL AT WHITE ROCK LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "WALAKOVITS",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "REHABILITATION SERVICES DIRECTOR",
        "authorized_official_telephone_number": "214-324-6000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1141984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 29, 2014; 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.