Individual provider Active NPI

Connor Orr

  • Physical Therapy Assistant
  • Keller, TX
National Provider Identifier
1639659998
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2140131 Issued in TX
Practice address
601 S Main St
Keller, TX 76248-7029
Phone
(972) 795-4610
NPI assigned
Aug 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2140131 TX Primary

Addresses

Primary practice location

601 S Main St
Keller, TX 76248-7029

Mailing address

3718 Cranston CT E
Irving, TX 75062-3535
Phone (972) 795-4610

Other practice location 1

601 S Main St
Keller, TX 76248-7029
Phone (972) 393-8067

Other practice location 2

546 E Sandy Lake Rd
Coppell, TX 75019-5786
Phone (972) 393-8067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2140131TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Associates of Irving PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1639659998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 CRANSTON CT E",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623535",
            "telephone_number": "972-795-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487029",
            "telephone_number": "972-795-4610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Main St",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762487029",
            "country_code": "US",
            "telephone_number": "972-393-8067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "546 E Sandy Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750195786",
            "country_code": "US",
            "telephone_number": "972-393-8067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORR",
        "first_name": "CONNOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2140131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.