Individual provider Active NPI

Heath Justin Dittfurth, PT

  • Physical Therapist
  • Saginaw, TX
National Provider Identifier
1326370503
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1191480 Issued in TX
Practice address
1100 N Blue Mound Rd
Suite 130
Saginaw, TX 76131-4901
Phone
(817) 232-3553
Fax
(817) 232-7882
NPI assigned
Feb 12, 2010
Last updated
Feb 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1191480 TX Primary

Addresses

Primary practice location

1100 N Blue Mound Rd
Suite 130
Saginaw, TX 76131-4901

Mailing address

1100 N Blue Mound Rd
Suite 130
Saginaw, TX 76131-4901
Phone (817) 232-3553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118000806 TX Practitioner - Physical Therapist in Private Practice 7012139587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bentz Physical Therapy, PCGroup PAC ID 9436185352, 8 clinicians

Practice addresses (Care Compare)

110 Pate Orr Rd S
Keller, TX 76248-1400
Phone (817) 337-0162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bentz Physical Therapy, PC Physical Therapist CurrentSince Oct 1, 2014 Accepting new patients

Locations

1636 Western Center Blvd
Fort Worth, TX 76131

800 Hemphill St
Ft Worth, TX 76104
Phone (817) 335-6155

110 Pate Orr Rd S
Keller, TX 76248
Phone (817) 337-0162

1100 N Blue Mound Rd
Ste 130
Saginaw, TX 76131
Phone (773) 707-8910

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1326370503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N BLUE MOUND RD",
            "address_2": "SUITE 130",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314901",
            "telephone_number": "817-232-3553",
            "fax_number": "817-232-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N BLUE MOUND RD",
            "address_2": "SUITE 130",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314901",
            "telephone_number": "817-232-3553",
            "fax_number": "817-232-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTFURTH",
        "first_name": "HEATH",
        "middle_name": "JUSTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1191480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.