Paula M Baron, PT
Individual provider Active NPI Physical Therapist · Keller, TX
NPI 1457740573 · NPPES record last updated Jan 13, 2015
Key facts
- NPI
- 1457740573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1169539 (TX)
- Practice address
- 8857 Davis Blvd
Suite 100
Keller, TX 76248-0308 - Phone
- (817) 431-8700
- Fax
- (817) 431-8811
- NPI assigned
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1169539 | TX | Yes |
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
Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.