Summit Physical Therapy P a

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

602190000 Issued in TX

Legal business name

SUMMIT PHYSICAL THERAPY P A

Doing business as

Fyzical Therapy Balance Center

Practice address

5212 Village Creek Dr Ste B
Plano, TX 75093-5066

Phone

(972) 732-7797

Fax

(972) 732-7794

NPI assigned

Jun 1, 2005

Last updated

Apr 30, 2021By 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

Meagan Elizabeth Niebrand

Title

Office Manager

Phone

(972) 732-7797

Specialties & licenses 1

Addresses

Other names 1

• Fyzical Therapy Balance Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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.

• Divine Lovala Kuja

  • Physical Therapist
  • Grand Prairie, TX
  • NPI 1922650100
  Medicare reassignment NPD
• Snehal M Uparkar, PT, DPT

  • Physical Therapist
  • Plano, TX
  • NPI 1891323424
  Medicare reassignment NPD
• Jordan Leinweaver, DPT

  • Physical Therapist
  • Addison, TX
  • NPI 1356791032
  NPD (past)
• Shriti S Shah, PT

  • Physical Therapist
  • Dallas, TX
  • NPI 1073176889
  NPD (past)
• Joel Varghese, PT

  • Physical Therapist
  • Dallas, TX
  • NPI 1083047534
  NPD (past)
• Donna Lynn Witten, M.S. P.T.

  • Physical Therapist
  • Dallas, TX
  • NPI 1518936111
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1740282052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 VILLAGE CREEK DR STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935066",
            "telephone_number": "972-732-7797",
            "fax_number": "972-732-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 VILLAGE CREEK DR STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935066",
            "telephone_number": "972-732-7797",
            "fax_number": "972-732-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "NIEBRAND",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-732-7797"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "602190000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy Balance Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Sullivan, M.D.
• Timothy E Sullivan, DC
• Sam Thio Sum-Ping, MD
• Beth Summers, O.D., M.S.
• Summit Neuromonitoring PLLC
• Summit Sedation Specialists PLLC
• Summit Surgery Center
• Summit Surgery Center LP
• Summit Therapeutic Concepts of Plano, LLC
• Summit Therapy Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.