Organization Active NPI

Uptown Orthopedic Manual Physical Therapy Institute Inc

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1790112720
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1064827 Issued in TX
Legal business name
UPTOWN ORTHOPEDIC MANUAL PHYSICAL THERAPY INSTITUTE INC
Practice address
3500 Oaklawn Avenue
Suite 105
Dallas, TX 75219-4374
Phone
(214) 242-8904
NPI assigned
Oct 4, 2013
Last updated
Dec 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Richard Silliman, PTNPI 1285705939
Title
Owner
Phone
(214) 346-0677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1064827 TX Primary

Addresses

Primary practice location

3500 Oaklawn Avenue
Suite 105
Dallas, TX 75219-4374

Mailing address

P.O. Box 674092
Dallas, TX 75267-4092
Phone (972) 616-4000

Other identifiers 1

IdentifierTypeStateIssuer
0029ZGOtherTXBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1790112720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 674092",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674092",
            "telephone_number": "972-616-4000",
            "fax_number": "972-294-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAKLAWN AVENUE",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194374",
            "telephone_number": "214-242-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN ORTHOPEDIC MANUAL PHYSICAL THERAPY INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "SILLIMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-346-0677",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1064827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0029ZG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.