Active NPI
Paula M Baron, PT
- Physical Therapist
- Keller, TX
National Provider Identifier
1457740573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1169539
- Practice address
- 8857 Davis Blvd
Suite 100
Keller, TX 76248-0308 - Phone
- (817) 431-8700
- Fax
- (817) 431-8811
- NPI assigned
- Jan 13, 2015
- Last updated
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 1169539 | TX | Primary |
Addresses
Primary practice location
8857 Davis Blvd
Suite 100
Keller, TX 76248-0308
Mailing address
1314 Ashmore Dr
Keller, TX 76248-8442
Phone (817) 983-3202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1169539 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportherapy LLC | Physical Therapist | Past | Accepting new patients |
| Gateway Partners Inc | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1457740573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 ASHMORE DR",
"city": "KELLER",
"state": "TX",
"postal_code": "762488442",
"telephone_number": "817-983-3202",
"fax_number": "817-431-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8857 DAVIS BLVD",
"address_2": "SUITE 100",
"city": "KELLER",
"state": "TX",
"postal_code": "762480308",
"telephone_number": "817-431-8700",
"fax_number": "817-431-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARON",
"first_name": "PAULA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1169539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.