Active NPI
Texas Physical Therapy Services of Burleson, LLC
Doing business as Texas Physical Therapy Services of Burleson
- Physical Therapist
- Burleson, TX
National Provider Identifier
1407570609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- TEXAS PHYSICAL THERAPY SERVICES OF BURLESON, LLC
- Doing business as
- Texas Physical Therapy Services of Burleson
- Practice address
- 1600 Greenridge Dr
Burleson, TX 76028-2914 - Phone
- (817) 764-0668
- Fax
- (817) 768-6276
- NPI assigned
- Sep 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua L. Proffitt
- Title
- President
- Phone
- (337) 233-1307
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1600 Greenridge Dr
Burleson, TX 76028-2914
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other names 1
- Texas Physical Therapy Services of Burleson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- Mansfield, TX
- NPI 1982352720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1407570609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51266",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051266",
"telephone_number": "337-233-1307",
"fax_number": "337-443-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 GREENRIDGE DR",
"city": "BURLESON",
"state": "TX",
"postal_code": "760282914",
"telephone_number": "817-764-0668",
"fax_number": "817-768-6276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS PHYSICAL THERAPY SERVICES OF BURLESON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "PROFFITT",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-233-1307"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas Physical Therapy Services of Burleson",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Texas Physical Therapy Services of Burleson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burleson, TX
- Texas Health Huguley, Inc. (Huguley Memorial Medical Center)
- Texas Health Urgent Care (Texas Health Breeze Urgent Care)
- Texas Integrated Healthcare Solutions LLC
- Texas Pathology Consultants, PA
- Texas Pathology Group LLC (Texas Pathology Laboratory)
- Charitha Thallapareddy
- The Center for Family Therapy and Assessment LLC
- The Healing Collective, PLLC
- Theraworks Inc (Select Physical Therapy)
- Amy Thomas, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.