Aviator Rehab Specialists LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

AVIATOR REHAB SPECIALISTS LLC

Doing business as

Aviator Sports Performance & Rehabilitation

Practice address

6151 County Road 124
McKinney, TX 75071-4837

Phone

(972) 645-1833

Fax

(972) 645-1834

NPI assigned

Sep 27, 2019

Last updated

Dec 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl Haas

Title

Accounts & Operations Senior Exec

Phone

(972) 961-4920

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aviator Sports Performance & Rehabilitation Doing business as

Locations

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.

• Dusty Anderson, PTA, CSCS, BMS

  • Physical Therapy Assistant
  • McKinney, TX
  • NPI 1790327369
  NPD
• David Cook, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1710529383
  NPD

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1417508730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 RAY WHITE RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449105",
            "telephone_number": "972-961-4920",
            "fax_number": "469-250-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 COUNTY ROAD 124",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714837",
            "telephone_number": "972-645-1833",
            "fax_number": "972-645-1834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E Plano Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750748546",
            "country_code": "US",
            "telephone_number": "469-871-0090",
            "fax_number": "469-871-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVIATOR REHAB SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "ACCOUNTS & OPERATIONS SENIOR EXEC",
        "authorized_official_telephone_number": "972-961-4920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "686000000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aviator Sports Performance & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aviator Sports Performance & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy L Austin, PH.D.
• Seth Austin, D.C.
• Ava Healthcare LLC (CareFirst Pharmacy)
• Laura Avalos, LVN
• Steven James Avers, D.O.
• Avicenna Vascular Institute LLC (Avicenna Vascular Institute)
• Irene Avina, LCSW
• Kelly Marie Ayala, LPC-S
• Oluwatoyin O Ayangade, REGISTERED NURSE
• Mary Kathleen Ayers, CCC-SLP

• Physical Medicine & Rehabilitation Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.