Coppell Spine & Sports Rehab Limited Partnership
Organization Active NPI Physical Therapist · Haslet, TX
NPI 1770123481 · NPPES record last updated Jan 10, 2020
Key facts
- NPI
- 1770123481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 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
- Organization subpart
- No
Authorized official
- Name
- Richard Binstein
- Title
- VP/Authorized Official
- Phone
- (713) 297-7000
Other NPIs on the same Medicare enrollment 18
Corporate family (same tax ID) 11
Practitioners 11
-
Christina R Agee, DPT
-
Drue Baker, DPT
-
Bailey Ann French, DPT
-
Alicia Paige Short, DPT
-
Matthew Thompson, DPT
-
Adelaide Brow, PT, DPT
-
Madison Rae Chapman, DPT
-
Nikita Sandip Patel, DPT
-
Allyson M Pattison, PT, DPT
-
Ryan Perez, DPT
-
Brian Charles Rue, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Coppell Spine Sports Rehab Limted Partnership
Locations
12520 Willow Springs Rd
Bldg 3
Haslet, TX 76052
Phone (817) 210-6196
12520 Willow Springs Rd
Ste 104
Haslet, TX 76052
Phone (817) 210-6196
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
12520 Willow Springs Road
Building 3, Suite 104
Haslet, TX 76052
Mailing address
PO Box 2650
Coppell, TX 75019-8607
Other providers in Haslet, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.