Active NPI
Root Physical Therapy and Wellness
- Physical Therapy Clinic/Center
- Plano, TX
National Provider Identifier
1700352614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Nikole Brown, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary | ||
| Doula | 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 DirectoryPractitioners & 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.