Fort Worth Head Neck and Jaw PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

681160000 Issued in TX

Legal business name

FORT WORTH HEAD NECK AND JAW PLLC

Doing business as

Ried Physical Therapy

Practice address

2939 Crockett St #312
Fort Worth, TX 76107-2955

Phone

(214) 264-4839

Fax

(817) 841-1295

NPI assigned

Jan 17, 2017

Last updated

Feb 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathaniel Ried, DPTNPI 1720411820

Title

Owner

Phone

(214) 264-4839

Specialties & licenses 1

Addresses

Other names 1

• Ried Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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.

• Nathaniel C Ried, D.P.T.

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1720411820
  Medicare reassignment NPD Authorized official
• Suzanna Joy Aguillon, PT, DPT

  • Physical Therapist
  • Weatherford, TX
  • NPI 1275213928
  Medicare reassignment NPD
• Ryan Stephen Roessler, DPT

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1083239305
  Medicare reassignment NPD
• Katy Allen Stivers, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1992355275
  Medicare reassignment NPD
• Daniel Steven Hockenbury, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1447939533
  NPD
• Andrew Vo, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1740086305
  NPD

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1326584111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 CROCKETT ST #312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072955",
            "telephone_number": "214-264-4839",
            "fax_number": "817-841-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 CROCKETT ST #312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072955",
            "telephone_number": "214-264-4839",
            "fax_number": "817-841-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH HEAD NECK AND JAW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "RIED",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-264-4839",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "681160000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ried Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, 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 Feb 10, 2017; 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.