Active NPI
Joshua Seth Elliott
- Physical Therapist
- Arlington, TX
National Provider Identifier
1427733922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1376313
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1376313 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blacketer Enterprises, Inc | Physical Therapist | Current | Accepting new patients |
| Agape Physical Therapy Services, PC | Single Specialty | Past | 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.
-
- Physical Therapy Clinic/Center
- Arlington, TX
- NPI 1295046050
Physical Therapist
-
- Physical Therapist
- Brockport, NY
- NPI 1841200649
Single Specialty
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.