Organization Active NPI

Root Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Plano, TX
National Provider Identifier
1700352614
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROOT PHYSICAL THERAPY AND WELLNESS
Practice address
8105 Rasor Blvd Ste 304
Plano, TX 75024-0267
Phone
(469) 717-0329
Fax
(469) 717-0327
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Amber Nikole Brown, PTNPI 1639516362
Title
Physical Therapist/ Owner
Phone
(469) 717-0329

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X

Addresses

Primary practice location

8105 Rasor Blvd Ste 304
Plano, TX 75024-0267

Mailing address

8105 Rasor Blvd Ste 304
Plano, TX 75024-0267
Phone (469) 717-0329

National Provider Directory

National Provider Directory

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": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1700352614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240267",
            "telephone_number": "469-717-0329",
            "fax_number": "469-717-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240267",
            "telephone_number": "469-717-0329",
            "fax_number": "469-717-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2021-04-07",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "NIKOLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "469-717-0329",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 7, 2021; 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.