Organization Active NPI

Dallas Midtown Physical Therapy and Rehabilitation LLP

  • Physical Therapy Clinic/Center
  • Dallas, TX
National Provider Identifier
1437532181
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
678160000 Issued in TX
Legal business name
DALLAS MIDTOWN PHYSICAL THERAPY AND REHABILITATION LLP
Practice address
4101 McEwen Rd Ste 100
Dallas, TX 75244-5145
Phone
(972) 701-0366
Fax
(972) 701-0372
NPI assigned
Jun 30, 2015
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Jason Winburne, PTNPI 1356412019
Title
Partner
Phone
(214) 293-9973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 678160000 TX Primary

Addresses

Primary practice location

4101 McEwen Rd Ste 100
Dallas, TX 75244-5145

Mailing address

4101 McEwen Rd Ste 100
Dallas, TX 75244-5145
Phone (972) 701-0366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151009000164 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234447376 Receives reassigned benefits from 4 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

4101 McEwen Rd
Ste 100
Dallas, TX 75244
Phone (972) 701-0366

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1437532181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445145",
            "telephone_number": "972-701-0366",
            "fax_number": "972-701-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445145",
            "telephone_number": "972-701-0366",
            "fax_number": "972-701-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS MIDTOWN PHYSICAL THERAPY AND REHABILITATION LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "WINBURNE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-293-9973",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "678160000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.

Verify at the official NPI Registry.