Organization Active NPI

Ft. Worth Rehabilitation, Inc.

Doing business as KDT Evaluation Center

  • Chiropractor
  • Garland, TX
National Provider Identifier
1790362580
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FT. WORTH REHABILITATION, INC.
Doing business as
KDT Evaluation Center
Practice address
3510 Luther LN
Garland, TX 75043-1416
Phone
(214) 396-4488
Fax
(888) 389-8141
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Dr. Jeff King, DC, OPA-CNPI 1871620187
Title
Manager
Phone
(214) 396-4488

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3510 Luther LN
Garland, TX 75043-1416

Mailing address

PO Box 497014
Garland, TX 75049-7014
Phone (214) 396-4488

Other names 1

  • KDT Evaluation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kdteval.com Other

National Provider Directory

National Provider Directory

Locations

100 Kings Fort Pkwy
Ste 105364
Kaufman, TX 75142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1790362580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497014",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750497014",
            "telephone_number": "214-396-4488",
            "fax_number": "888-389-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 LUTHER LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431416",
            "telephone_number": "214-396-4488",
            "fax_number": "888-389-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT. WORTH REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-396-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, OPA-C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kdteval.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "mail",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mail",
            "address_1": "100 Kings Fort Pkwy Ste 105-364",
            "city": "Kaufman",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751423536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KDT Evaluation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.