Allen Spine & Sportscare, LLP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

635850004 Issued in TX

Legal business name

ALLEN SPINE & SPORTSCARE, LLP

Practice address

1101 Raintree Cir
Suite 150
Allen, TX 75013-4922

Phone

(214) 509-0029

Fax

(214) 509-0070

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Craig Rettke

Title

Partner

Phone

(972) 529-3691

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vista Physical Therapy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Vista Rehab Partners, LP

  • Physical Therapist
  • Haltom City, TX
  • NPI 1831435437

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1790772796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W ELDORADO PKWY",
            "address_2": "#102-20ASSC",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706309",
            "telephone_number": "214-509-0029",
            "fax_number": "214-509-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RAINTREE CIR",
            "address_2": "SUITE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134922",
            "telephone_number": "214-509-0029",
            "fax_number": "214-509-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN SPINE & SPORTSCARE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "RETTKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-529-3691"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "635850004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0023KX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen New Age Dentistry , PA
• Allen Pediatrics
• Allen Physical Therapy
• Allen Primary Care PA
• Allen Primary Care PLLC
• Allen Surgical Center LLC
• Allen Vision Center, P.a.
• Allen Wound Care LLC
• Judith Ann Allen, PH.D.
• Allergy and Asthma Associates of Allen

• All providers in Allen, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.