Individual provider Active NPI

Nathaniel C Ried, D.P.T.

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1720411820
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1232658 Issued in TX
Practice address
2939 Crockett St #312
Fort Worth, TX 76107-2955
Phone
(214) 264-4839
Fax
(817) 841-1295
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1232658 TX Primary

Addresses

Primary practice location

2939 Crockett St #312
Fort Worth, TX 76107-2955

Mailing address

2939 Crockett St #312
Fort Worth, TX 76107-2955
Phone (214) 264-4839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140818001261 TX Practitioner - Physical Therapist in Private Practice 7517184419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6145 Wedgwood Dr
Fort Worth, TX 76133-2768
Phone (817) 380-8077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Worth Head Neck and Jaw PLLC CurrentSince Feb 1, 2017 Accepting new patients

Locations

4900 Overton Ridge Blvd
Ste 200
Fort Worth, TX 76132
Phone (214) 264-4839

6145 Wedgwood Dr
Fort Worth, TX 76133
Phone (817) 370-8022

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1720411820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 CROCKETT ST #312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072955",
            "telephone_number": "214-264-4839",
            "fax_number": "817-841-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 CROCKETT ST #312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072955",
            "telephone_number": "214-264-4839",
            "fax_number": "817-841-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIED",
        "first_name": "NATHANIEL",
        "middle_name": "C",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1232658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.