Organization Active NPI

Sports Med City Centre

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1588728810
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS MED CITY CENTRE
Practice address
1015 N Carroll Ave Ste 104
Dallas, TX 75204-6607
Phone
(214) 276-1580
Fax
(214) 276-1581
NPI assigned
Dec 21, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Donna Alford
Title
Cfo
Phone
(214) 343-2300

Specialties & licenses 1

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

Addresses

Primary practice location

1015 N Carroll Ave Ste 104
Dallas, TX 75204-6607

Mailing address

1015 N Carroll Ave Ste 104
Dallas, TX 75204-6607
Phone (214) 276-1580

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1588728810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N CARROLL AVE STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046607",
            "telephone_number": "214-276-1580",
            "fax_number": "214-276-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N CARROLL AVE STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046607",
            "telephone_number": "214-276-1580",
            "fax_number": "214-276-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MED CITY CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-343-2300"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "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 Nov 2, 2007; 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.