NPIMap

Organization Active NPI

Premier Rehab, P.C.

  • Physical Therapist
  • North Richland Hills, TX
National Provider Identifier
1609886472
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
652030000 Issued in TX
Legal business name
PREMIER REHAB, P.C.
Practice address
5060 Davis Blvd
North Richland Hills, TX 76180-7004
Phone
(817) 498-8585
Fax
(817) 498-8582
NPI assigned
Aug 8, 2006
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Mrs. Maria A Underwood
Title
Administrator
Phone
(817) 498-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 652030000 TX Primary

Addresses

Primary practice location

5060 Davis Blvd
North Richland Hills, TX 76180-7004

Mailing address

5060 Davis Blvd
North Richland Hills, TX 76180-7004
Phone (817) 498-8585

National Provider Directory

National Provider Directory

Locations

4140 N Collins St
Arlington, TX 76005

816 Keller Pkwy
Ste 200
Keller, TX 76248
Phone (817) 200-7445

1600 FM 544
Lewisville, TX 75056
Phone 8174988585 ext. 709

1940 E State Highway 114
Southlake, TX 76092
Phone (817) 329-4800

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1609886472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 DAVIS BLVD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807004",
            "telephone_number": "817-498-8585",
            "fax_number": "817-498-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 DAVIS BLVD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807004",
            "telephone_number": "817-498-8585",
            "fax_number": "817-498-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-498-8585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "652030000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.