Organization Active NPI

DFW Integrative Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Hurst, TX
National Provider Identifier
1629547534
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DFW INTEGRATIVE REHABILITATION
Practice address
470 W Harwood Rd
Hurst, TX 76054-2939
Phone
(817) 498-8449
Fax
(817) 281-4829
NPI assigned
Nov 20, 2018
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Miss Merlyn Velador
Title
Credentialing/Insurance Coor
Phone
(817) 498-8449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

470 W Harwood Rd
Hurst, TX 76054-2939

Mailing address

470 W Harwood Rd
Hurst, TX 76054-2939
Phone (817) 498-8449

Other identifiers 1

IdentifierTypeStateIssuer
684950000OtherTXEXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1629547534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 W HARWOOD RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542939",
            "telephone_number": "817-498-8449",
            "fax_number": "817-281-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W HARWOOD RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542939",
            "telephone_number": "817-498-8449",
            "fax_number": "817-281-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW INTEGRATIVE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "VELADOR",
        "authorized_official_first_name": "MERLYN",
        "authorized_official_title_or_position": "CREDENTIALING/INSURANCE COOR",
        "authorized_official_telephone_number": "817-498-8449",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "684950000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.