Osteopractic Physical Therapy & Pain Relief

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OSTEOPRACTIC PHYSICAL THERAPY & PAIN RELIEF

Practice address

3400 McMillen Rd Apt 7305
Wylie, TX 75098-7729

Phone

(214) 471-8936

NPI assigned

Nov 1, 2020

Last updated

Mar 14, 2022By 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

Dr. Brent Allen Lockett, PTNPI 1619457223

Title

Physical Therapist

Phone

(214) 471-8936

Specialties & licenses 1

Addresses

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.

• Brent Lockett

  • Physical Therapy Clinic/Center
  • Wylie, TX
  • NPI 1619457223
  Authorized official Same address or phone

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1760082390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MCMILLEN RD APT 7305",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987729",
            "telephone_number": "214-471-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MCMILLEN RD APT 7305",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987729",
            "telephone_number": "214-471-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPRACTIC PHYSICAL THERAPY & PAIN RELIEF",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2022-03-14",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "214-471-8936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.