NPIMap

Organization Active NPI

Greater Lewisville Therapy Center Inc

Doing business as Greater Therapy Centers

  • Physical Therapist
  • Mesquite, TX
National Provider Identifier
1639884075
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GREATER LEWISVILLE THERAPY CENTER INC
Doing business as
Greater Therapy Centers
Practice address
1010 N Belt Line Rd Ste 102
Mesquite, TX 75149-1770
Phone
(972) 288-2400
Fax
(833) 234-1878
NPI assigned
Jan 19, 2023
Last updated
Jan 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Richard R Kelly, OTNPI 1801960026
Title
Chief Executive Officer-GTC
Phone
(972) 420-6605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1010 N Belt Line Rd Ste 102
Mesquite, TX 75149-1770

Mailing address

966 N Garden Ridge Blvd Ste 530
Lewisville, TX 75077-2876
Phone (972) 420-6605

Other names 1

  • Greater Therapy Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000616 TX Part B Supplier - Clinic/Group Practice 0547247108 Receives reassigned benefits from 19 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mesquite, TX; Plano, TX; Terrell, TX; Lewisville, TX; Fort Worth, TX; Dallas, TX; Carrollton, TX; Arlington, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Greater Lewisville Therapy Center Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 W Arbrook Blvd
Ste 151
Arlington, TX 76014
Phone (817) 472-8383

2309 Virginia Pkwy
Ste 400
McKinney, TX 75071
Phone (972) 542-7360

7801 Main St
#100
The Colony, TX 75056
Phone (972) 662-1700

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1639884075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 N GARDEN RIDGE BLVD STE 530",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772876",
            "telephone_number": "972-420-6605",
            "fax_number": "844-965-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BELT LINE RD STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491770",
            "telephone_number": "972-288-2400",
            "fax_number": "833-234-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LEWISVILLE THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER-GTC",
        "authorized_official_telephone_number": "972-420-6605",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Therapy Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.