NPIMap

Organization Active NPI

Vista Rehab Partners, LP

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1336545136
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VISTA REHAB PARTNERS, LP
Practice address
10150 Legacy Dr Ste 100
Frisco, TX 75033-6730
Phone
(214) 705-8000
Fax
(214) 705-8009
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Craig Rettke, PT
Title
President
Phone
(972) 529-3691

Specialties & licenses 1

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

Addresses

Primary practice location

10150 Legacy Dr Ste 100
Frisco, TX 75033-6730

Mailing address

5100 Eldorado Pkwy # 102-20FR
McKinney, TX 75070-6510
Phone (214) 705-8000

Other practice location 1

5100 Eldorado Pkwy
#102-20FR
McKinney, TX 75070-6510
Phone (214) 705-8000

Other names 1

  • Vista Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1336545136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY # 102-20FR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706510",
            "telephone_number": "214-705-8000",
            "fax_number": "214-705-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 LEGACY DR STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750336730",
            "telephone_number": "214-705-8000",
            "fax_number": "214-705-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Eldorado Pkwy",
            "address_2": "#102-20FR",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750706510",
            "country_code": "US",
            "telephone_number": "214-705-8000",
            "fax_number": "214-705-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISTA REHAB PARTNERS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "RETTKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-529-3691",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.