NPIMap

Organization Active NPI

Forest Hill Diagnostic & Rehabilitation, Inc.

  • Rehabilitation Practitioner
  • Fort Worth, TX
National Provider Identifier
1740343631
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
FOREST HILL DIAGNOSTIC & REHABILITATION, INC.
Practice address
3304 SE Loop 820
Fort Worth, TX 76140-1108
Phone
(817) 568-9200
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Tony Aboudib, DC
Title
President
Phone
(817) 568-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

3304 SE Loop 820
Fort Worth, TX 76140-1108

Mailing address

3304 SE Loop 820
Fort Worth, TX 76140-1108
Phone (817) 568-9200

Other identifiers 1

IdentifierTypeStateIssuer
180052700OtherTXUS DEPT. OF LABOR

National Provider Directory

National Provider Directory

Locations

3304 SE Loop 820
Fort Worth, TX 76140
Phone (817) 568-8444

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1740343631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401108",
            "telephone_number": "817-568-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401108",
            "telephone_number": "817-568-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILL DIAGNOSTIC & REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "ABOUDIB",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-568-9200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "180052700",
            "state": "TX"
        }
    ],
    "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 Jul 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.