Summit Peak Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

660120002 Issued in TX

Legal business name

SUMMIT PEAK PHYSICAL THERAPY PC

Practice address

613 Matlock Centre Cir
Arlington, TX 76015-2535

Phone

(817) 299-8080

Fax

(817) 299-0788

NPI assigned

Jan 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jason Paul Moses, PT, DPT

Title

President

Phone

(817) 705-8558

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Summit Peak Physical Therapy PC

  • Physical Therapist
  • Grand Prairie, TX
  • NPI 1811038029

  O20101117000840

  Same enrollment

Locations

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

{
    "created_epoch": "1230768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1447496013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 RANCHWAY DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287864",
            "telephone_number": "817-705-8558",
            "fax_number": "817-299-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 MATLOCK CENTRE CIR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152535",
            "telephone_number": "817-299-8080",
            "fax_number": "817-299-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PEAK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-01",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-705-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "660120002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumexus LLC
• Scott Summerlin
• Irene K Summers, FNP-C
• Summit LTC Arlington LLC
• Summit Neurophysiology PLLC
• Summit Rehab
• Summit Surgical Services PLLC
• Sun Choice PLLC
• Andrew Yang Sun, M.D.
• Sunbal Zafar PLLC

• Physical Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.