Richardson Physical Therapy Clinic

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1031847 Issued in TX

Legal business name

RICHARDSON PHYSICAL THERAPY CLINIC

Practice address

515 W Campbell Rd
Suite 105
Richardson, TX 75080-3374

Phone

(972) 235-3874

Fax

(972) 235-9720

NPI assigned

May 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Aaron Bennett, P.T.NPI 1538295068

Title

Owner

Phone

(972) 235-3874

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Bennett, P.T.

  • Physical Therapist
  • Sherman, TX
  • NPI 1538295068
  NPD (past) Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588877757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W CAMPBELL RD",
            "address_2": "SUITE 105",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803374",
            "telephone_number": "972-235-3874",
            "fax_number": "972-235-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W CAMPBELL RD",
            "address_2": "SUITE 105",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803374",
            "telephone_number": "972-235-3874",
            "fax_number": "972-235-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON PHYSICAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-235-3874",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1031847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0086JW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richardson Mimosa Medical Center (First Choice Emergency Room)
• Richardson Nursing and Rehab Center, LLC
• Richardson Oral & Maxillofacial Surgery Associates, Inc.
• Richardson Oral Surgery and Implant Center PLLC
• Richardson Pediatric Associates
• Richardson Physician Alliance
• Richardson Primarycare Clinic LLC
• Richardson Smiles PLLC
• Richardson Speech & Neuro Therapy PLLC
• Richardson Spine and Sports Therapy Center LLC

• Physical Therapy Clinic/Center in Richardson, TX
• Providers in Richardson, TX by specialty
• Physical Therapy Clinic/Center in Texas

• 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.

Verify at the official NPI Registry.