NPIMap

Organization Active NPI

Coppell Spine & Sports Rehab Limited Partnership

  • Physical Therapist
  • Haslet, TX
National Provider Identifier
1770123481
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COPPELL SPINE & SPORTS REHAB LIMITED PARTNERSHIP
Practice address
12520 Willow Springs Road
Building 3, Suite 104
Haslet, TX 76052
Phone
(817) 210-6196
Fax
(817) 782-9303
NPI assigned
Jan 10, 2020
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Richard Binstein
Title
VP/Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

12520 Willow Springs Road
Building 3, Suite 104
Haslet, TX 76052

Mailing address

PO Box 2650
Coppell, TX 75019-8607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

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…
O20050211000129 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850200551 Receives reassigned benefits from 21 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Worth, TX; Haslet, TX; Plano, TX

Other NPIs on the same Medicare enrollment 18

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

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Coppell Spine Sports Rehab Limted Partnership12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

12520 Willow Springs Rd
#104
Haslet, TX 76052
Phone (817) 210-6196

12520 Willow Springs Rd
Bldg 3
Haslet, TX 76052
Phone (817) 210-6196

Practitioners & affiliated clinicians

Practitioners 11

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": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1770123481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 WILLOW SPRINGS ROAD",
            "address_2": "BUILDING 3, SUITE 104",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "76052",
            "telephone_number": "817-210-6196",
            "fax_number": "817-782-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPELL SPINE & SPORTS REHAB LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.