Organization Active NPI

Reza Nabavi, P.T., P.C.

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1538224548
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
605610005 Issued in TX
Legal business name
REZA NABAVI, P.T., P.C.
Doing business as
NORTH TEXAS PHYSICAL THERAPY AND REHABILITATION
Practice address
7120 Campbell Rd
Suite 105
Dallas, TX 75248-1570
Phone
(972) 480-9455
Fax
(972) 480-9867
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Mr. Reza Nabavi, P.T.
Title
President
Phone
(972) 270-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 605610005 TX Primary

Addresses

Primary practice location

7120 Campbell Rd
Suite 105
Dallas, TX 75248-1570

Mailing address

PO Box 851888
Mesquite, TX 75185-1888
Phone (972) 480-9455

Other identifiers 1

IdentifierTypeStateIssuer
605610005OtherTXFACILITY REGISTRATION

Other names 1

  • NORTH TEXAS PHYSICAL THERAPY AND REHABILITATION Doing business as

National Provider Directory

National Provider Directory

Locations

7120 Campbell Rd
Ste 105
Dallas, TX 75248
Phone (972) 480-9455

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1538224548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851888",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851888",
            "telephone_number": "972-480-9455",
            "fax_number": "972-480-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 CAMPBELL RD",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481570",
            "telephone_number": "972-480-9455",
            "fax_number": "972-480-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA NABAVI, P.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "NABAVI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-270-5555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "605610005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY REGISTRATION",
            "identifier": "605610005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH TEXAS PHYSICAL THERAPY AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.