Active NPI
Mietus PT, LLC
- Physical Therapy Clinic/Center
- Irving, TX
National Provider Identifier
1497924344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.