Tarrant Sports & Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1110955 Issued in TX

Legal business name

TARRANT SPORTS & PHYSICAL THERAPY

Practice address

801 S Main St
Suite 117
Keller, TX 76248-7026

Phone

(817) 741-8122

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Miss Heather A Russell, PT

Title

Physical Therapist Owner

Phone

(817) 741-8122

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Heather Miller, PT, DPT

  • Physical Therapist
  • Adams, NY
  • NPI 1922199116
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407066574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST",
            "address_2": "SUITE 117",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487026",
            "telephone_number": "817-741-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST",
            "address_2": "SUITE 117",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487026",
            "telephone_number": "817-741-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT SPORTS & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "817-741-8122",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1110955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1922199116",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T6880",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Tailleur, LPC
• James A Taki, MD
• Joseph Tyler Talley, PA-C
• Tamara S. Miller DDS, P.a.
• Tarrant Plastic Surgery, P.a.
• Rebecca Tate, LCSW
• Breana Taylor
• Jennifer Delaine Taylor, L.C.S.W.
• Lauren Taylor
• Michaelann Marie Taylor

• Physical Therapist in Keller, TX
• Providers in Keller, TX by specialty
• Physical Therapist in Texas

• 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.