Organization Active NPI

Ipa Physio Dallas

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1699557009
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IPA PHYSIO DALLAS
Practice address
8105 Rasor Blvd Ste 243
Plano, TX 75024-0341
Phone
(469) 782-9978
Fax
(469) 782-9946
NPI assigned
Oct 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Jimmy Armentrout, PT
Title
President
Phone
(972) 965-7128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

8105 Rasor Blvd Ste 243
Plano, TX 75024-0341

Mailing address

8105 Rasor Blvd Ste 243
Plano, TX 75024-0341
Phone (469) 782-9978

National Provider Directory

National Provider Directory

Locations

8105 Rasor Blvd
Ste 243
Plano, TX 75024
Phone (469) 782-9978

Practitioners & affiliated clinicians

Practitioners 1

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": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1699557009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 243",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240341",
            "telephone_number": "469-782-9978",
            "fax_number": "469-782-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 243",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240341",
            "telephone_number": "469-782-9978",
            "fax_number": "469-782-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPA PHYSIO DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "ARMENTROUT",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-965-7128",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.