Organization Active NPI

Texas Specialty Physical Therapy

  • Physical Therapist
  • North Richland Hills, TX
National Provider Identifier
1730771023
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TEXAS SPECIALTY PHYSICAL THERAPY
Doing business as
FYZICAL Therapy and Balance Centers
Practice address
8412 Davis Blvd Ste 190
North Richland Hills, TX 76182-8679
Phone
(817) 479-7168
Fax
(817) 479-3498
NPI assigned
Feb 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
George Summers, MPTNPI 1821025248
Title
Owner
Phone
(817) 479-7168

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 1

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

Addresses

Primary practice location

8412 Davis Blvd Ste 190
North Richland Hills, TX 76182-8679

Mailing address

8412 Davis Blvd Ste 100
North Richland Hills, TX 76182-8656

Other names 1

  • FYZICAL Therapy and Balance Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210318000055 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325455322 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX; North Richland Hills, TX; Roanoke, TX

National Provider Directory

National Provider Directory

Locations

12515 Business Highway 287 N
Ste 101
Fort Worth, TX 76179
Phone (817) 479-7168

8412 Davis Blvd
Ste 100
North Richland Hills, TX 76182

8412 Davis Blvd
Ste 190
North Richlnd Hls, TX 76182
Phone (817) 479-7168

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": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1730771023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8412 DAVIS BLVD STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 DAVIS BLVD STE 190",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828679",
            "telephone_number": "817-479-7168",
            "fax_number": "817-479-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPECIALTY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-479-7168",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FYZICAL Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.