Covenant Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1172428 Issued in TX

Legal business name

COVENANT PHYSICAL THERAPY, LLC

Practice address

951 York Dr
104
Desoto, TX 75115-2052

Phone

(972) 925-0765

NPI assigned

Aug 15, 2015

Organization subpart

No

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

Authorized official

Name

Chioma Olonade

Title

Owner

Phone

(972) 925-0765

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1508232398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 YORK DR",
            "address_2": "104",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 YORK DR",
            "address_2": "104",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152052",
            "telephone_number": "972-925-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "OLONADE",
        "authorized_official_first_name": "CHIOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-925-0765"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1172428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Desoto, TX
• Providers in Desoto, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.