Organization Active NPI

Reza Nabavi, P.T., P.C.

  • Physical Therapist
  • Terrell, TX
National Provider Identifier
1700938669
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6056103 Issued in TX
Legal business name
REZA NABAVI, P.T., P.C.
Practice address
904 W Moore Ave
Terrell, TX 75160-3004
Phone
(972) 563-1824
Fax
(972) 524-5929
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Mr. Reza Nabavi, P.T.
Title
President
Phone
(972) 270-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 6056103 TX Primary

Addresses

Primary practice location

904 W Moore Ave
Terrell, TX 75160-3004

Mailing address

904 W Moore Ave
Terrell, TX 75160-3004
Phone (972) 563-1824

Other names 1

  • Terrell Physical Therapy and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

904 W Moore Ave
Terrell, TX 75160
Phone (972) 563-0556

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1700938669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751603004",
            "telephone_number": "972-563-1824",
            "fax_number": "972-524-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751603004",
            "telephone_number": "972-563-1824",
            "fax_number": "972-524-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA NABAVI, P.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "NABAVI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-270-5555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "6056103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrell Physical Therapy and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.