Active NPI
Roger Alan King, L.P.T.
- Physical Therapist
- Van Alstyne, TX
National Provider Identifier
1477562130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1044204
- Practice address
- 176 N. Main
Van Alstyne, TX 75495-1207 - Phone
- (903) 482-9741
- Fax
- (903) 482-9742
- NPI assigned
- Aug 5, 2006
- Last updated
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 1044204 | TX | Primary |
Addresses
Primary practice location
176 N. Main
Van Alstyne, TX 75495-1207
Mailing address
PO Box 1207
Van Alstyne, TX 75495-1207
Phone (903) 482-9741
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1044204 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1477562130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1207",
"city": "VAN ALSTYNE",
"state": "TX",
"postal_code": "754951207",
"telephone_number": "903-482-9741",
"fax_number": "903-482-9742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 N. MAIN",
"city": "VAN ALSTYNE",
"state": "TX",
"postal_code": "754951207",
"telephone_number": "903-482-9741",
"fax_number": "903-482-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ROGER",
"middle_name": "ALAN",
"credential": "L.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1044204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Alstyne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.