Reddick Physical Therapy, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J9294 Issued in TX

Legal business name

REDDICK PHYSICAL THERAPY, P.A.

Practice address

2300 Valley View LN
Suite 1025
Irving, TX 75062-5056

Phone

(214) 441-3046

Fax

(214) 441-3056

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sybil Rochelle Reddick, M.D.NPI 1083693212

Title

Owner

Phone

(214) 441-3046

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

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

• Sybil Rochelle Reddick, MD

  • Physical Medicine & Rehabilitation Physician
  • Rossville, GA
  • NPI 1083693212
  NPD (past) Authorized official

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1619152998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 VALLEY VIEW LN",
            "address_2": "SUITE 1025",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625056",
            "telephone_number": "214-441-3046",
            "fax_number": "214-441-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 VALLEY VIEW LN",
            "address_2": "SUITE 1025",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625056",
            "telephone_number": "214-441-3046",
            "fax_number": "214-441-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDICK PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "REDDICK",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-441-3046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J9294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8A9795",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F7937",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0086KD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPECIFED",
            "identifier": "8G1486",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J8110",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "8G1887",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Reaves, BCABA
• Rebirth Inc.
• Haley Carol Recke, PT, DPT
• Red Rock Dental-Farmington
• Reddick Physical Therapy
• Akhil Reddy, DDS
• Deepika Alavala Reddy, M.D
• Meghana Tanguturi Reddy, MD
• Srilatha Arrem Reddy, M.D.
• Samuel H Ree, D.M.D

• Specialist in Irving, TX
• Providers in Irving, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.