Superior Home Physical Therapy Services, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUPERIOR HOME PHYSICAL THERAPY SERVICES, LLC

Practice address

2709 Meadow Isle LN
Dallas, TX 75237-3215

Phone

(214) 298-3887

Fax

(817) 977-0201

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Marie Inez Webster, PT DPT

Title

Owner

Phone

(214) 298-3887

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 2

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

• Monica Webster Lowe

  • Driver
  • Dallas, TX
  • NPI 1841800240
  NPD
• Michele Webster

  • Driver
  • Dallas, TX
  • NPI 1851901250
  NPD

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1457969990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 MEADOW ISLE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373215",
            "telephone_number": "214-298-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 MEADOW ISLE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373215",
            "telephone_number": "214-298-3887",
            "fax_number": "817-977-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-298-3887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063804300",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "endpointDescription": "Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2709 Meadow Isle Ln",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752373215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Superior Anesthesia Consultants PLLC
• Superior Empire Management Group LLC
• Superior Family Chiropractic Inc.
• Superior Health Services
• Superior Health Transport Inc
• Superior Med DME, LLC
• Superior Surgery Centers PA
• Superior Transportation
• Supplemental Health Care
• Supplies on Demand LLC

• Physical Therapy Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.