Pax Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PAX PHYSICAL THERAPY LLC

Practice address

7453 Las Colinas Blvd
Irving, TX 75063-7561

Phone

(408) 455-5108

NPI assigned

Dec 27, 2022

Last updated

Mar 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria King, PTNPI 1801407135

Title

Owner

Phone

(408) 455-5108

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Diane King, PT, DPT

  • Physical Therapist
  • Irving, TX
  • NPI 1801407135
  NPD Authorized official

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1720791494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12914 EPPS FIELD RD",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752346212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7453 LAS COLINAS BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637561",
            "telephone_number": "408-455-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-455-5108",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul G. Hayter, O.D., P.C.
• Christabel Omolola Paul
• Rosa Paul, RBT
• Simi Paul, DDS
• Paulina Phan OD PA
• Maggie Lynn Payne
• Willie Bobby Payne Jr., PHARMD
• Monica Payton
• Andrew Bradford Pazandak, MD
• Peaceful Living Home Healthcare LLC

• Physical Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.