Organization Active NPI

Carrollton Physical Therapy Clinic, PC.

  • Rehabilitation Clinic/Center
  • Carrollton, TX
National Provider Identifier
1376581306
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
654010000 Issued in TX
Legal business name
CARROLLTON PHYSICAL THERAPY CLINIC, PC.
Practice address
1933 E Frankford Rd
Suite 110
Carrollton, TX 75007-5371
Phone
(972) 394-7170
Fax
(972) 492-8065
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Cynthia L. Goldberg
Title
Chief Compliance Officer
Phone
(610) 644-7824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 654010000 TX Primary

Addresses

Primary practice location

1933 E Frankford Rd
Suite 110
Carrollton, TX 75007-5371

Mailing address

335 Roselane St NW
Suite 201
Marietta, GA 30060-7902
Phone (470) 259-5226

Other names 1

  • Carrollton Physical Therapy and Work Hardening Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3720 N Josey Ln
Ste 104
Carrollton, TX 75007
Phone (972) 394-7170

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1376581306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ROSELANE ST NW",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607902",
            "telephone_number": "470-259-5226",
            "fax_number": "267-321-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 E FRANKFORD RD",
            "address_2": "SUITE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075371",
            "telephone_number": "972-394-7170",
            "fax_number": "972-492-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON PHYSICAL THERAPY CLINIC, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "610-644-7824"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "654010000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollton Physical Therapy and Work Hardening",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.