Triggered Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TRIGGERED PHYSICAL THERAPY LLC

Practice address

801 E Abram St # 208
Arlington, TX 76010-1200

Phone

(817) 405-9833

Fax

(682) 747-6892

NPI assigned

Oct 10, 2020

Last updated

Oct 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joan A Adeku

Title

Credentialing Manager

Phone

(817) 454-9021

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602288000000",
    "number": "1619575842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E ABRAM ST # 208",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760101200",
            "telephone_number": "817-405-9833",
            "fax_number": "682-747-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E ABRAM ST # 208",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760101200",
            "telephone_number": "817-405-9833",
            "fax_number": "682-747-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIGGERED PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-10",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "ADEKU",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING  MANAGER",
        "authorized_official_telephone_number": "817-454-9021"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "1269962",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.