Active NPI
Fitstar Physical Therapy
- Physical Therapist
- Dallas, TX
National Provider Identifier
1609230440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1260250
- Legal business name
- FITSTAR PHYSICAL THERAPY
- Practice address
- 17400 Dallas Parkway,
Ste 210
Dallas, TX 75287-7306 - Phone
- (469) 372-5399
- NPI assigned
- Apr 7, 2016
- 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
- Danaree Lynette Allgood, MSPT
- Title
- Director/Owner
- Phone
- (917) 684-9375
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1260250 | TX | Primary |
Addresses
Primary practice location
17400 Dallas Parkway,
Ste 210
Dallas, TX 75287-7306
Mailing address
17400 Dallas Pkwy Ste 210
Dallas, TX 75287-7306
Phone (469) 372-5399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17400 Dallas Pkwy
Ste 123
Dallas, TX 75287
Phone (469) 372-5399
17400 Dallas Pkwy
Ste 210
Dallas, TX 75287
Phone (469) 372-3599
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Dallas, TX
- NPI 1366610230
-
- Family Medicine Physician
- Plano, TX
- NPI 1316962137
-
- Sleep Medicine (Family Medicine) Physician
- Dallas, TX
- NPI 1477588200
-
- Family Medicine Physician
- Dallas, TX
- NPI 1861404824
-
- Medical Physician Assistant
- Dallas, TX
- NPI 1962736355
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1508552290
-
- Family Medicine Physician
- Denton, TX
- NPI 1902868839
-
- Adult Medicine Physician
- Philadelphia, PA
- NPI 1326147356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494288000000",
"number": "1609230440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17400 DALLAS PKWY STE 210",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877306",
"telephone_number": "469-372-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17400 DALLAS PARKWAY,",
"address_2": "STE 210",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877306",
"telephone_number": "469-372-5399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITSTAR PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-07",
"last_updated": "2017-05-09",
"status": "A",
"authorized_official_last_name": "ALLGOOD",
"authorized_official_first_name": "DANAREE",
"authorized_official_middle_name": "LYNETTE",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "917-684-9375",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1260250",
"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 May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.