Individual provider Active NPI

Joshua Seth Elliott

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1427733922
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1376313 Issued in TX
Practice address
524 E Lamar Blvd Ste 130
Arlington, TX 76011-3929
Phone
(817) 483-1746
NPI assigned
Jun 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1376313 TX Primary

Addresses

Primary practice location

524 E Lamar Blvd Ste 130
Arlington, TX 76011-3929

Mailing address

6033 W I 20
Arlington, TX 76017-1042
Phone (817) 483-1746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023003255 TX Practitioner - Physical Therapist in Private Practice 8921454240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blacketer Enterprises, IncGroup PAC ID 4981884905, 16 clinicians

Practice addresses (Care Compare)

524 E Lamar Blvd
Suite 130
Arlington, TX 76011-3929
Phone (817) 483-1746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1376313TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blacketer Enterprises, Inc Physical Therapist CurrentSince Jul 12, 2023 Accepting new patients
Agape Physical Therapy Services, PC Single Specialty PastSince Jun 25, 2023 Accepting new patients

Locations

524 E Lamar Blvd
Ste 130
Arlington, TX 76011
Phone (817) 483-1746

6033 W Interstate 20
Arlington, TX 76017
Phone (817) 483-1746

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1427733922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 W I 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171042",
            "telephone_number": "817-483-1746",
            "fax_number": "817-483-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E LAMAR BLVD STE 130",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113929",
            "telephone_number": "817-483-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JOSHUA",
        "middle_name": "SETH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1376313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.