NPIMap

Organization Active NPI

Elite Healthcare South Dallas

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Dallas, TX
National Provider Identifier
1548683279
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
DC8314 Issued in TX
Legal business name
ELITE HEALTHCARE SOUTH DALLAS
Practice address
4305 Pinnacle Point Dr.
# 301
Dallas, TX 75211
Phone
(214) 337-2100
Fax
(214) 337-2108
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Mrs. Jen Lee Whisler-Parvin
Title
Collections Coord.
Phone
(972) 417-9922

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X DC9745 TX
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X DC8314 TX
Physical Therapy Clinic/Center 261QP2000X PT1107050 TX
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X DC9745 TX
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X DC8314 TX Primary

Addresses

Primary practice location

4305 Pinnacle Point Dr.
# 301
Dallas, TX 75211

Mailing address

PO Box 1752
Frisco, TX 75034
Phone (972) 417-9922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1548683279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1752",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "972-417-9922",
            "fax_number": "972-417-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 PINNACLE POINT DR.",
            "address_2": "# 301",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75211",
            "telephone_number": "214-337-2100",
            "fax_number": "214-337-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE SOUTH DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "WHISLER-PARVIN",
        "authorized_official_first_name": "JEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COLLECTIONS COORD.",
        "authorized_official_telephone_number": "972-417-9922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "DC9745",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "DC8314",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "PT1107050",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "DC9745",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "DC8314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 14, 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.