Organization Active NPI

Terry Rehabilitation & Testing

  • Physical Therapy Clinic/Center
  • Carrollton, TX
National Provider Identifier
1609935477
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TERRY REHABILITATION & TESTING
Practice address
1428 W Hebron Pkwy
Suite 120
Carrollton, TX 75010-6345
Phone
(972) 939-6501
Fax
(866) 451-0585
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Mr. Guy L Terry, PT, OCS
Title
Owner
Phone
(972) 939-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1428 W Hebron Pkwy
Suite 120
Carrollton, TX 75010-6345

Mailing address

PO Box 117213
Carrollton, TX 75011-7213
Phone (972) 939-6501

Other identifiers 3

IdentifierTypeStateIssuer
8T3290OtherTXBLUE CROSS BLUE SHIELD
10035116OtherTXAMERIGROUP
173756101MedicaidTX

National Provider Directory

National Provider Directory

Locations

3730 N Josey Ln
Ste 124
Carrollton, TX 75007
Phone (972) 939-6501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1609935477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117213",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750117213",
            "telephone_number": "972-939-6501",
            "fax_number": "866-451-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 W HEBRON PKWY",
            "address_2": "SUITE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106345",
            "telephone_number": "972-939-6501",
            "fax_number": "866-451-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY REHABILITATION & TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-939-6501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T3290",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10035116",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173756101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.