Launch Performance and Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LAUNCH PERFORMANCE AND PHYSICAL THERAPY

Doing business as

Roots Physical Therapy

Practice address

2401 Kemp Blvd
Wichita Falls, TX 76309-5348

Phone

(940) 613-6606

NPI assigned

May 3, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Colleen M Foley, PT

Title

Owner

Phone

(940) 613-6606

Specialties & licenses 1

Addresses

Other names 1

• Roots Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Foley Fidelie, PT, MPT

  • Physical Therapist
  • Wichita Falls, TX
  • NPI 1265519508
  Medicare reassignment Care Compare group
• Paula Michelle Noyes, OTR

  • Occupational Therapist
  • Wichita Falls, TX
  • NPI 1851375463
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1346805462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 FAIN ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081904",
            "telephone_number": "940-613-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 KEMP BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763095348",
            "telephone_number": "940-613-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUNCH PERFORMANCE AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-613-6606",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Halee Jordan Langen, SLP
• Frederick Langner, M.D.
• Sarah Kay Langston, DO
• Sara Jayne Large, NP-C
• Patricia Ann Latham, R.D.
• Karen Jean Lavalley, AU. D.CCC-A
• Angelica Rain Lavender
• Olawunmi Aabiodun Lawal, MD
• Olufemi A Lawal, M.D
• Kayla Le

• Physical Therapy Clinic/Center in Wichita Falls, TX
• Providers in Wichita Falls, 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 May 3, 2019; 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.