Organization Active NPI

Cook Childrens Home Health

Doing business as Orthotic Prosthetic Phy Group

  • Orthotist
  • Fort Worth, TX
National Provider Identifier
1770842551
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
101295 Issued in TX
Legal business name
COOK CHILDRENS HOME HEALTH
Doing business as
Orthotic Prosthetic Phy Group
Practice address
1719 8TH Ave
Fort Worth, TX 76110-1349
Phone
(682) 885-6492
Fax
(682) 885-1135
NPI assigned
May 14, 2012
Organization subpart
Yes
Parent organization
COOK CHILDRENS HOME HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Mike R Simmons
Title
President, CCHH
Phone
(682) 885-2409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 222Z00000X 101295 TX Primary
ProsthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224P00000X 101295 TX

Addresses

Primary practice location

1719 8TH Ave
Fort Worth, TX 76110-1349

Mailing address

1719 8TH Ave
Fort Worth, TX 76110-1349
Phone (682) 885-6492

Other names 1

  • ORTHOTIC PROSTHETIC PHY GROUP Doing business as

National Provider Directory

National Provider Directory
Part of
Cook Childrens Home Health

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1770842551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101349",
            "telephone_number": "682-885-6492",
            "fax_number": "682-885-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101349",
            "telephone_number": "682-885-6492",
            "fax_number": "682-885-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CHILDRENS HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK CHILDRENS HOME HEALTH",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT, CCHH",
        "authorized_official_telephone_number": "682-885-2409"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "TX",
            "license": "101295",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "101295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOTIC PROSTHETIC PHY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.