Organization Active NPI

Phoenixfit

  • Physical Therapy Clinic/Center
  • Richardson, TX
National Provider Identifier
1558061762
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHOENIXFIT
Doing business as
PhoenixFit Physical Therapy
Practice address
888 S Greenville Ave Ste 201
Richardson, TX 75081-5045
Phone
(859) 242-5271
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Dr. Cole Cisneros, DPTNPI 1588241988
Title
Owner
Phone
(859) 242-5271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

888 S Greenville Ave Ste 201
Richardson, TX 75081-5045

Mailing address

1400 Andrews Pkwy Apt 4110
Allen, TX 75002-2982
Phone (859) 242-5271

Other names 1

  • PhoenixFit Physical Therapy Doing business as

National Provider Directory

National Provider Directory

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1558061762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ANDREWS PKWY APT 4110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022982",
            "telephone_number": "859-242-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S GREENVILLE AVE STE 201",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815045",
            "telephone_number": "859-242-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIXFIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "COLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-242-5271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhoenixFit Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.