Active NPI
Athletix
- Physical Therapy Clinic/Center
- Southlake, TX
National Provider Identifier
1356009799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ATHLETIX
- Practice address
- 190 SH-114 W
Southlake, TX 76092 - Phone
- (512) 779-7374
- NPI assigned
- Dec 2, 2021
- Last updated
- Dec 2, 2021
- 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
- Justin Frazier
- Title
- Manager
- Phone
- (210) 882-2433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
190 SH-114 W
Southlake, TX 76092
Mailing address
190 SH-114 W
Southlake, TX 76092
Phone (512) 779-7374
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Southlake, TX
- NPI 1144865163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638403200000",
"number": "1356009799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 SH-114 W",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "76092",
"telephone_number": "512-779-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 SH-114 W",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "76092",
"telephone_number": "512-779-7374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETIX",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-02",
"last_updated": "2021-12-02",
"certification_date": "2021-11-20",
"status": "A",
"authorized_official_last_name": "FRAZIER",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "210-882-2433"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
- Aspen Anesthesia Management, LLC.
- Heidi Assaad
- Assist Psychological Services, PLLC
- Athena Healthcare Inc
- Athletico LTD (Athletico Physical Therapy)
- Obadah Attar, DDS, DSCD
- Audiology Center of North Texas, LLC
- Audra D Boxma PA (Life Skills Counseling Center)
- Molly Kathryn Augustine, M.D.
- Amnah Aurangzeb, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.