Organization Active NPI

Mietus PT, LLC

  • Physical Therapy Clinic/Center
  • Irving, TX
National Provider Identifier
1497924344
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MIETUS PT, LLC
Practice address
4301 N Macarthur Blvd
Suite 204
Irving, TX 75038-6416
Phone
(972) 256-3320
Fax
(972) 256-1299
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Joel M Mietus, PT
Title
Owner
Phone
(972) 256-3320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X TX Primary

Addresses

Primary practice location

4301 N Macarthur Blvd
Suite 204
Irving, TX 75038-6416

Mailing address

4301 N Macarthur Blvd
Suite 204
Irving, TX 75038-6416
Phone (972) 256-3320

Other names 1

  • Mietus Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

4301 N MacArthur Blvd
Ste 204
Irving, TX 75038
Phone (972) 256-3320

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1497924344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD",
            "address_2": "SUITE 204",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386416",
            "telephone_number": "972-256-3320",
            "fax_number": "972-256-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD",
            "address_2": "SUITE 204",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386416",
            "telephone_number": "972-256-3320",
            "fax_number": "972-256-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIETUS PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "MIETUS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-256-3320",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mietus Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.