NPIMap

Organization Active NPI

Fyzical Therapy and Balance Centers- Plano LLC

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1790343077
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FYZICAL THERAPY AND BALANCE CENTERS- PLANO LLC
Practice address
5804 Coit Rd Ste 108
Plano, TX 75023-5957
Phone
(312) 799-9949
NPI assigned
Jun 3, 2019
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Nandita Shah, PTNPI 1174854228
Title
Owner
Phone
(312) 799-9949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5804 Coit Rd Ste 108
Plano, TX 75023-5957

Mailing address

9236 Old Veranda Rd
Plano, TX 75024-7082
Phone (972) 808-6338

Other practice location 1

5930 W Park Blvd Ste 600
Plano, TX 75093-4377
Phone (972) 996-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190730004189 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870829757 Receives reassigned benefits from 10 practitioners
Practice locations: Carrollton, TX; Plano, TX

National Provider Directory

National Provider Directory

Locations

1790 King Arthur Blvd
Ste 110
Carrollton, TX 75010
Phone (312) 799-9949

5804 Coit Rd
Ste 108
Plano, TX 75023
Phone (312) 799-9949

5930 W Park Blvd
Ste 600
Plano, TX 75093
Phone (972) 996-4660

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": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1790343077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9236 OLD VERANDA RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247082",
            "telephone_number": "972-808-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 COIT RD STE 108",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235957",
            "telephone_number": "312-799-9949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5930 W Park Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750934377",
            "country_code": "US",
            "telephone_number": "972-996-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FYZICAL THERAPY AND BALANCE CENTERS- PLANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NANDITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-799-9949",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.