Active NPI
Terry Rehabilitation & Testing
- Physical Therapy Clinic/Center
- Carrollton, TX
National Provider Identifier
1609935477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T3290 | Other | TX | BLUE CROSS BLUE SHIELD |
| 10035116 | Other | TX | AMERIGROUP |
| 173756101 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Coppell, TX
- NPI 1386667863
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.