Organization Active NPI

Landry Therapy Group PLLC

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1659865145
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LANDRY THERAPY GROUP PLLC
Practice address
750 N Fielder Rd
Arlington, TX 76012-4635
Phone
(214) 306-4898
NPI assigned
Jun 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Lisa Gayle Landry, LCSWNPI 1225457492
Title
Owner
Phone
(214) 306-4898

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

750 N Fielder Rd
Arlington, TX 76012-4635

Mailing address

PO Box 222
Midlothian, TX 76065-0222
Phone (214) 306-4898

Other identifiers 1

IdentifierTypeStateIssuer
00688BOtherBLUE CROSS BLUE SHIELD OF TEXAS

National Provider Directory

National Provider Directory

Locations

602 Strada Cir
#103
Mansfield, TX 76063
Phone (214) 306-4898

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1659865145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760650222",
            "telephone_number": "214-306-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124635",
            "telephone_number": "214-306-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRY THERAPY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-306-4898",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "00688B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.