NPIMap

Organization Active NPI

Virtue Medical Physical Therapy, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Bridgeport, TX
National Provider Identifier
1760158596
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
VIRTUE MEDICAL PHYSICAL THERAPY, PLLC
Practice address
1703 16TH St Ste D
Bridgeport, TX 76426-2179
Phone
(940) 255-6552
Fax
(940) 202-7058
NPI assigned
Aug 20, 2021
Last updated
Aug 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
VIRTUE MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Dani Davis, M.ED
Title
Coo
Phone
(906) 382-5064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1703 16TH St Ste D
Bridgeport, TX 76426-2179

Mailing address

PO Box 1500
Bridgeport, TX 76426-1500
Phone (940) 255-6552

National Provider Directory

National Provider Directory
Tax ID family
Virtue Medical Physical Therapy PLLC2 organizations share this tax ID, including this one
Part of
Virtue Medical Physical Therapy PLLC

Other organizations with this tax ID 1

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

Locations

1703 16th St
Ste D
Bridgeport, TX 76426
Phone (940) 255-6552

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1760158596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764261500",
            "telephone_number": "940-255-6552",
            "fax_number": "940-202-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 16TH ST STE D",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262179",
            "telephone_number": "940-255-6552",
            "fax_number": "940-202-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUE MEDICAL PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRTUE MEDICAL GROUP, LLC",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DANI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "906-382-5064",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.