Organization Active NPI

North Texas Physiatry P.a.

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1740727726
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N3145 Issued in TX
Legal business name
NORTH TEXAS PHYSIATRY P.A.
Practice address
7777 Forest LN
Dallas, TX 75230
Phone
(972) 566-7000
Fax
(817) 284-3425
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Kathleen Vawter
Title
Administrator
Phone
(801) 388-7745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X N3145 TX Primary

Addresses

Primary practice location

7777 Forest LN
Dallas, TX 75230

Mailing address

PO Box 678708
Dallas, TX 75267-8708
Phone (817) 284-9850

Other practice location 1

3917 Clark Pkwy
Plano, TX 75093-8516
Phone (214) 970-6817

Other practice location 2

1620 Coit Rd
Plano, TX 75075-6135
Phone (214) 970-6817

Other practice location 3

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (214) 970-6817

Other practice location 4

130 S Central Expy
McKinney, TX 75070-3742
Phone (214) 970-6817

Other practice location 5

500 W Main St
Lewisville, TX 75057-3641
Phone (214) 970-6817

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170515000983 TX Part B Supplier - Clinic/Group Practice 7012294333 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1740727726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678708",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678708",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-566-7000",
            "fax_number": "817-284-3425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3917 Clark Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938516",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Coit Rd",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756135",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Matlock Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152908",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 S Central Expy",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750703742",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573641",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS PHYSIATRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "VAWTER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-388-7745"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N3145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.