NPIMap

Organization Active NPI

JTD Therapy Services LLC

  • Physical Therapist
  • Trophy Club, TX
National Provider Identifier
1386674109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1134484 Issued in TX
Legal business name
JTD THERAPY SERVICES LLC
Practice address
301 Trophy Lake Dr
Suite 152
Trophy Club, TX 76262-5238
Phone
(817) 491-4775
Fax
(817) 491-4889
NPI assigned
Jul 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Cristina A Neuwirth, MPTNPI 1760401822
Title
Owner
Phone
(817) 491-4775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1134484 TX Primary

Addresses

Primary practice location

301 Trophy Lake Dr
Suite 152
Trophy Club, TX 76262-5238

Mailing address

301 Trophy Lake Dr
Suite 152
Trophy Club, TX 76262-5238
Phone (817) 491-4775

National Provider Directory

National Provider Directory

Locations

301 Trophy Lake Dr
Unit 152
Trophy Club, TX 76262
Phone (817) 491-4775

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386674109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 TROPHY LAKE DR",
            "address_2": "SUITE 152",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625238",
            "telephone_number": "817-491-4775",
            "fax_number": "817-491-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 TROPHY LAKE DR",
            "address_2": "SUITE 152",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625238",
            "telephone_number": "817-491-4775",
            "fax_number": "817-491-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTD THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEUWIRTH",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-491-4775",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1134484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, 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.