NPIMap

Organization Active NPI

Chisholm Trail Orthopedics & Sports Medicine, LLLP

  • Orthopaedic Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1619675873
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CHISHOLM TRAIL ORTHOPEDICS & SPORTS MEDICINE, LLLP
Practice address
5540 Sycamore School Rd
Suite 312
Fort Worth, TX 76123
Phone
(817) 556-3212
Fax
(817) 556-2388
NPI assigned
Feb 17, 2023
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHISHOLM TRAIL ORTHOPEDICS & SPORTS MEDICINE, LLLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mrs. Tracey R Morgan, OFFICE MANAGER
Title
Office Manager
Phone
(817) 556-3212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X

Addresses

Primary practice location

5540 Sycamore School Rd
Suite 312
Fort Worth, TX 76123

Mailing address

Chisholm Train Orthopedics&Sports Medicine,LLLP
2010 W Katherine P Raines Rd Suite 300
Cleburne, TX 76033-7447
Phone (817) 556-3212

National Provider Directory

National Provider Directory
Part of
Chisholm TRL Ortho Sports

Locations

649 NE Alsbury Blvd
#105
Burleson, TX 76028
Phone 8174261212207

5450 Sycamore School Rd
Ste 312
Fort Worth, TX 76123

5540 Sycamore School Rd
Ste 312
Ft Worth, TX 76123
Phone (817) 556-3212

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1619675873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHISHOLM TRAIN ORTHOPEDICS&SPORTS MEDICINE,LLLP",
            "address_2": "2010 W KATHERINE P RAINES RD SUITE 300",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337447",
            "telephone_number": "817-556-3212",
            "fax_number": "817-556-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 SYCAMORE SCHOOL RD",
            "address_2": "SUITE 312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76123",
            "telephone_number": "817-556-3212",
            "fax_number": "817-556-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISHOLM TRAIL ORTHOPEDICS & SPORTS MEDICINE, LLLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHISHOLM TRAIL ORTHOPEDICS & SPORTS MEDICINE, LLLP",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-556-3212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.