Physiofix and Restore LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIOFIX AND RESTORE LLC

Practice address

9450 Blanco Dr
Lantana, TX 76226-7202

Phone

(817) 455-2600

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Melody CoatesNPI 1972963742

Title

Physical Therapist

Phone

(817) 455-2600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melody Coates, PT, DPT

  • Physical Therapist
  • Lantana, TX
  • NPI 1972963742
  NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1457048951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 BLANCO DR",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762267202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 BLANCO DR",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762267202",
            "telephone_number": "817-455-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOFIX AND RESTORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "817-455-2600"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela D Norris, LPC-ASSOCIATE
• Crystal Alane Goodwin Oehlers, LPC-ASSOCIATE
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• Melissa Ann Pecunia, LPC-S
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• Linda Piatt, FNP-BC
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• Megan Popple
• Angela Ridinger Ward, NC
• Rill Images Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.