Active NPI
Gary Steve Looney, MT007903
- Mechanotherapist
- Fort Worth, TX
National Provider Identifier
1598993578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MT007903
- Practice address
- 5358 W Vickery Blvd
Fort Worth, TX 76107-7520 - Phone
- (817) 731-6276
- Fax
- (817) 731-5890
- NPI assigned
- Jun 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT007903 | TX | Primary |
Addresses
Primary practice location
5358 W Vickery Blvd
Fort Worth, TX 76107-7520
Mailing address
5358 W Vickery Blvd
Fort Worth, TX 76107-7520
Phone (817) 731-6276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT007903 | TX | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1598993578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5358 W VICKERY BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077520",
"telephone_number": "817-731-6276",
"fax_number": "817-731-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5358 W VICKERY BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077520",
"telephone_number": "817-731-6276",
"fax_number": "817-731-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOONEY",
"first_name": "GARY",
"middle_name": "STEVE",
"name_prefix": "Mr.",
"credential": "MT007903",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "TX",
"license": "MT007903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.