NPIMap

Organization Active NPI

Vista Rehab Partners

Doing business as Vista Physical Therapy

  • Physical Therapist
  • Grand Prairie, TX
National Provider Identifier
1346679263
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
Doing business as
Vista Physical Therapy
Practice address
3055 Bardin Rd
#100
Grand Prairie, TX 75052-3816
Phone
(214) 383-9939
Fax
(214) 383-9929
NPI assigned
Nov 1, 2013
Last updated
May 5, 2022By the provider in NPPES
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, PTNPI 1831434125
Title
President
Phone
(972) 529-3691

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3055 Bardin Rd
#100
Grand Prairie, TX 75052-3816

Mailing address

5100 Eldorado Pkwy
#102 20GP
McKinney, TX 75070-6510
Phone (214) 383-9939

Other names 1

  • Vista Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3055 Bardin Rd
Ste 100
Grand Prairie, TX 75052
Phone (214) 383-9939

Practitioners & affiliated clinicians

Practitioners 2

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": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1346679263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY",
            "address_2": "#102 20GP",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706510",
            "telephone_number": "214-383-9939",
            "fax_number": "972-393-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 BARDIN RD",
            "address_2": "#100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523816",
            "telephone_number": "214-383-9939",
            "fax_number": "214-383-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA REHAB PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "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 Grand Prairie, 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.