Medical Exercise Therapy

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MEDICAL EXERCISE THERAPY

Practice address

212 NE Wilshire Blvd
Burleson, TX 76028-4117

Phone

(409) 383-9521

Fax

(817) 642-5815

NPI assigned

Nov 25, 2015

Organization subpart

No

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

Authorized official

Name

Nathan Neal Williams, OWNER

Title

Owner

Phone

(409) 383-9521

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1568836732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NE WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284117",
            "telephone_number": "409-383-9521",
            "fax_number": "817-642-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NE WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284117",
            "telephone_number": "409-383-9521",
            "fax_number": "817-642-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EXERCISE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-383-9521",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather L McKenzie, M.D.
• Kimberly Diane McNabb
• Med Southwest, PLLC
• Med Southwest, PLLC
• Medical Edge Healthcare Group PA
• Medicare Counseling and Therapy LLC
• Deval Mehta, M.D.
• Raj Mehta, PHARMD
• Shelly Lee Melia
• Mia Mercado

• Health Service Clinic/Center in Burleson, TX
• Providers in Burleson, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.