Concierge Therapy & Wellness Group

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CONCIERGE THERAPY & WELLNESS GROUP

Practice address

2728 Hood St Apt 218
Dallas, TX 75219-4847

Phone

(972) 207-4353

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Nadia Banks, OTRNPI 1396121844

Title

President, Manager

Phone

(972) 207-4353

Specialties & licenses 3

Addresses

Other names 1

• Concierge Therapy & Wellness Group Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Nadia Banks

  • Occupational Therapist
  • Dallas, TX
  • NPI 1396121844
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1386331924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 HOOD ST APT 218",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194847",
            "telephone_number": "972-207-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 HOOD ST APT 218",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194847",
            "telephone_number": "972-207-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE THERAPY & WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "PRESIDENT, MANAGER",
        "authorized_official_telephone_number": "972-207-4353",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Therapy & Wellness Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Occupational Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.