Active NPI
Rehab Consultants Inc
- Physical Therapist
- Ft Worth, TX
National Provider Identifier
1588774897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1065415
- Legal business name
- REHAB CONSULTANTS INC
- Practice address
- 1617 Park Place Ave
Ste 110
Ft Worth, TX 76110-1300 - Phone
- (817) 923-1800
- Fax
- (817) 923-2059
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert L Larson, LPT
- Title
- Physical Therapist
- Phone
- (817) 923-1800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1065415 | TX | Primary |
| Physical Therapist | 225100000X | 1043453 | TX |
Addresses
Primary practice location
1617 Park Place Ave
Ste 110
Ft Worth, TX 76110-1300
Mailing address
1617 Park Place Ave
Ste 110
Ft Worth, TX 76110-1300
Phone (817) 923-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86336T | Other | BCBS |
Other names 1
- Robert L Larson
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1588774897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 PARK PLACE AVE",
"address_2": "STE 110",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761101300",
"telephone_number": "817-923-1800",
"fax_number": "817-923-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 PARK PLACE AVE",
"address_2": "STE 110",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761101300",
"telephone_number": "817-923-1800",
"fax_number": "817-923-2059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB CONSULTANTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "817-923-1800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1065415",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1043453",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86336T",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Robert L Larson",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.