Organization Active NPI

Professional Physical Therapy Services LLC

Doing business as Advanced Health Systems

  • Physical Therapist
  • Amarillo, TX
National Provider Identifier
1326059346
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
657350000 Issued in TX
Legal business name
PROFESSIONAL PHYSICAL THERAPY SERVICES LLC
Doing business as
Advanced Health Systems
Practice address
940 Buena Vista St
Amarillo, TX 79106-4309
Phone
(806) 358-7474
Fax
(806) 355-1587
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Victoria Perez
Title
Business Office
Phone
(806) 353-6544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 657350000 TX Primary

Addresses

Primary practice location

940 Buena Vista St
Amarillo, TX 79106-4309

Mailing address

940 Buena Vista St
Amarillo, TX 79106-4309
Phone (806) 358-7474

Other names 1

  • Advanced Health Systems Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101118001405 TX Part B Supplier - Clinic/Group Practice 6305032137 Receives reassigned benefits from 2 practitioners
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

940 Buena Vista St
Amarillo, TX 79106
Phone (806) 358-7474

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326059346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 BUENA VISTA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064309",
            "telephone_number": "806-358-7474",
            "fax_number": "806-358-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BUENA VISTA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064309",
            "telephone_number": "806-358-7474",
            "fax_number": "806-355-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "806-353-6544",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "657350000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.