Organization Active NPI

North Star Abdominopelvic Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Mansfield, TX
National Provider Identifier
1801415690
Registry record updated Apr 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NORTH STAR ABDOMINOPELVIC PHYSICAL THERAPY, LLC
Practice address
1475 Heritage Pkwy Ste 121
Mansfield, TX 76063-2739
Phone
(817) 405-9502
Fax
(844) 416-9334
NPI assigned
Apr 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2020

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

Authorized official

Name
Tina Chaney
Title
Owner/Physical Therapist
Phone
(817) 913-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1475 Heritage Pkwy Ste 121
Mansfield, TX 76063-2739

Mailing address

2229 Cancun Dr
Mansfield, TX 76063-8549

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://northstarpt.janeapp.com/
Direct Messaging Address tina@drtinachaney.com Direct

National Provider Directory

National Provider Directory

Locations

1475 Heritage Pkwy
Ste 121
Mansfield, TX 76063
Phone (817) 247-1882

NPI Registry JSON

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586563200000",
    "number": "1801415690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 CANCUN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HERITAGE PKWY STE 121",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632739",
            "telephone_number": "817-405-9502",
            "fax_number": "844-416-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR ABDOMINOPELVIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-11",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "817-913-0150"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://northstarpt.janeapp.com/",
            "affiliation": "N",
            "endpointDescription": "Online Portal",
            "address_1": "1475 Heritage Pkwy Ste 121",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760632739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tina@drtinachaney.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1475 Heritage Pkwy Ste 121",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760632739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; 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.