NPIMap

Organization Active NPI

Coppell Spine & Sports Rehab Limited Partnership

Doing business as Southlake Physical Therapy

  • Physical Therapy Clinic/Center
  • Southlake, TX
National Provider Identifier
1750309720
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COPPELL SPINE & SPORTS REHAB LIMITED PARTNERSHIP
Doing business as
Southlake Physical Therapy
Therapy Partners of North Texas
Practice address
731 East Southlake Blvd
Suite 150
Southlake, TX 76092-6380
Phone
(817) 442-8600
Fax
(817) 442-8603
NPI assigned
Jul 18, 2006
Last updated
Oct 5, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
COPPELL SPINE & SPORTS REHAB LIMITED PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Richard S Binstein, JD
Title
VP, Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

731 East Southlake Blvd
Suite 150
Southlake, TX 76092-6380

Mailing address

731 E Southlake Blvd
Suite 150
Southlake, TX 76092-6377

Other names 2

  • Southlake Physical Therapy Doing business as
  • Therapy Partners of North Texas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030305000024 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1850200551 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Trophy Club, TX; Denton, TX; Southlake, TX; North Richland Hills, TX; Haslet, TX; Grapevine, TX; Frisco, TX; Fort Worth, TX…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Coppell Spine Sports Rehab12 organizations share this tax ID, including this one
Part of
Coppell Spine Sports Rehab

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4364 Heritage Trace Pkwy
Ste 108
Fort Worth, TX 76244
Phone (817) 379-1400

731 E Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 442-8600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1750309720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E SOUTHLAKE BLVD",
            "address_2": "SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 EAST SOUTHLAKE BLVD",
            "address_2": "SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926380",
            "telephone_number": "817-442-8600",
            "fax_number": "817-442-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPELL SPINE & SPORTS REHAB LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COPPELL SPINE & SPORTS REHAB LIMITED PARTNERSHIP",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southlake Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Therapy Partners of North Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.