NPIMap

Organization Active NPI

Kspotslp

  • Physical Therapy Clinic/Center
  • Dallas, TX
National Provider Identifier
1619196649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
102079 Issued in TX
Legal business name
KSPOTSLP
Practice address
12810 Hillcrest Rd
B100
Dallas, TX 75230-1525
Phone
(972) 404-1718
Fax
(972) 404-9006
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kimberly Bentley Solari, OTR
Title
Ownerdirector
Phone
(972) 404-1718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 102079 TX Primary

Addresses

Primary practice location

12810 Hillcrest Rd
B100
Dallas, TX 75230-1525

Mailing address

12810 Hillcrest Rd
B100
Dallas, TX 75230-1525
Phone (972) 404-1718

Other names 1

  • Solari Pediatric Outpatient Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

12810 Hillcrest Rd
#B100
Dallas, TX 75230
Phone (972) 404-1718

Practitioners & affiliated clinicians

Practitioners 8

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619196649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HILLCREST RD",
            "address_2": "B100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301525",
            "telephone_number": "972-404-1718",
            "fax_number": "972-404-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HILLCREST RD",
            "address_2": "B100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301525",
            "telephone_number": "972-404-1718",
            "fax_number": "972-404-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSPOTSLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLARI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "BENTLEY",
        "authorized_official_title_or_position": "OWNERDIRECTOR",
        "authorized_official_telephone_number": "972-404-1718",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "102079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solari Pediatric Outpatient Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.