Organization Active NPI

Sports Therapy and Rehabilitation Services

  • Orthotist
  • Fort Worth, TX
National Provider Identifier
1366517542
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Legal business name
SPORTS THERAPY AND REHABILITATION SERVICES
Practice address
1555 Merrimac Circle
Ste 200
Fort Worth, TX 76107
Phone
(817) 870-4949
Fax
(817) 338-2940
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Mrs. Katherine C Sahl, PT
Title
Co Owner Physical Therapist
Phone
(817) 249-6336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X Primary

Addresses

Primary practice location

1555 Merrimac Circle
Ste 200
Fort Worth, TX 76107

Mailing address

1555 Merrimac Circle
Ste 200
Fort Worth, TX 76107
Phone (817) 870-4949

Other identifiers 3

IdentifierTypeStateIssuer
0035GDOtherTXBCBS
686182OtherTXUNITED HEALTH CARE ACN
3815621OtherTXCIGNA

National Provider Directory

National Provider Directory

Locations

1533 Merrimac Cir
Ste 103
Ft Worth, TX 76107
Phone (817) 870-4949

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1366517542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 MERRIMAC CIRCLE",
            "address_2": "STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76107",
            "telephone_number": "817-870-4949",
            "fax_number": "817-338-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MERRIMAC CIRCLE",
            "address_2": "STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76107",
            "telephone_number": "817-870-4949",
            "fax_number": "817-338-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS THERAPY AND REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "SAHL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "817-249-6336",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0035GD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ACN",
            "identifier": "686182",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3815621",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.