Individual provider Active NPI

Jennifer Harris

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1538550413
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1255447 Issued in TX
Practice address
160 W Magnolia Ave
Suite 2
Ft Worth, TX 76104-7654
Phone
(817) 335-7946
Fax
(817) 335-7947
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1255447 TX Primary

Addresses

Primary practice location

160 W Magnolia Ave
Suite 2
Ft Worth, TX 76104-7654

Mailing address

160 W Magnolia Ave
Suite 2
Ft Worth, TX 76104-7654
Phone (817) 335-7946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150316000747 TX Practitioner - Physical Therapist in Private Practice 9436476249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

3501 Custer Pkwy
Suite 129
Richardson, TX 75080-1055
Phone (469) 751-8881

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1255447TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Physical Therapy Limited Partnership Physical Therapist Current Accepting new patients
Crossroads Physical Therapy Limited Partnership Physical Therapist CurrentSince Feb 9, 2015 Accepting new patients
Crossroads Physical Therapy Limited Partnership Physical Therapist CurrentSince Feb 9, 2015 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 25, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 25, 2022 Accepting new patients

Locations

5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995

5510 Abrams Rd
Ste 115
Dallas, TX 75214
Phone (214) 265-9700

3690 W Wheatland Rd
Ste 100
Dallas, TX 75237
Phone (972) 296-6645

160 W Magnolia Ave
Ste 2
Ft Worth, TX 76104
Phone (817) 335-7946

3824 S Carrier Pkwy
Ste 490
Grand Prairie, TX 75052
Phone (972) 262-9972

125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318

3501 Custer Pkwy
Ste 129
Richardson, TX 75080
Phone (469) 751-8881

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1538550413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W MAGNOLIA AVE",
            "address_2": "SUITE 2",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761047654",
            "telephone_number": "817-335-7946",
            "fax_number": "817-335-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W MAGNOLIA AVE",
            "address_2": "SUITE 2",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761047654",
            "telephone_number": "817-335-7946",
            "fax_number": "817-335-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1255447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.