Organization Active NPI

Advanced Neurological Services

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Worth, TX
National Provider Identifier
1386647634
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
ADVANCED NEUROLOGICAL SERVICES
Practice address
2755 Alta Mesa Blvd
Fort Worth, TX 76133-5803
Phone
(817) 292-2208
Fax
(817) 292-8021
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Belinda McBain
Title
Dro
Phone
(817) 292-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X TX Primary

Addresses

Primary practice location

2755 Alta Mesa Blvd
Fort Worth, TX 76133-5803

Mailing address

2755 Alta Mesa Blvd
Fort Worth, TX 76133-5803
Phone (817) 292-2208

Other identifiers 1

IdentifierTypeStateIssuer
0086GBOtherTXBCBS

Other names 1

  • ADVANCED THERAPY SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

2913 Altamesa Blvd
Fort Worth, TX 76133
Phone (817) 292-2208

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386647634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 ALTA MESA BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335803",
            "telephone_number": "817-292-2208",
            "fax_number": "817-292-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 ALTA MESA BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335803",
            "telephone_number": "817-292-2208",
            "fax_number": "817-292-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCBAIN",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "DRO",
        "authorized_official_telephone_number": "817-292-2208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0086GB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED THERAPY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.