Active NPI
Vista Rehab Partners
- Physical Therapist
- Grand Prairie, TX
National Provider Identifier
1346679263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- VISTA REHAB PARTNERS
- Practice address
- 3055 Bardin Rd
#100
Grand Prairie, TX 75052-3816 - Phone
- (214) 383-9939
- Fax
- (214) 383-9929
- NPI assigned
- Nov 1, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
3055 Bardin Rd
Ste 100
Grand Prairie, TX 75052
Phone (214) 383-9939
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Grand Prairie, TX
- NPI 1497806657
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.