NPIMap

Organization Active NPI

Source One Physical Therapy

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1356746978
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOURCE ONE PHYSICAL THERAPY
Practice address
8080 Independence Pkwy
Suite 110
Plano, TX 75025
Phone
(469) 658-0100
Fax
(469) 658-0101
NPI assigned
Oct 24, 2014
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Jarrod Rogers
Title
President
Phone
(214) 577-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

8080 Independence Pkwy
Suite 110
Plano, TX 75025

Mailing address

PO Box 25006
Fort Worth, TX 76124-2006
Phone (469) 658-0100

National Provider Directory

National Provider Directory
Tax ID family
JTJ Marketing Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1356746978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25006",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761242006",
            "telephone_number": "469-658-0100",
            "fax_number": "469-658-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY",
            "address_2": "SUITE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "469-658-0100",
            "fax_number": "469-658-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE ONE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-577-9191"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.