Active NPI
Summit Peak Physical Therapy PC
- Physical Therapist
- Grand Prairie, TX
National Provider Identifier
1811038029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 660120001
- Legal business name
- SUMMIT PEAK PHYSICAL THERAPY PC
- Practice address
- 2461 Robinson Rd
Grand Prairie, TX 75051-3852 - Phone
- (972) 606-4858
- Fax
- (972) 606-1637
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Paul Moses, PT, DPT
- Title
- President
- Phone
- (817) 705-8558
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 660120001 | TX | Primary |
Addresses
Primary practice location
2461 Robinson Rd
Grand Prairie, TX 75051-3852
Mailing address
166 Ranchway Dr
Burleson, TX 76028-7864
Phone (817) 426-5439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00Y947 | Other | TX | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Grand Prairie, TX
- NPI 1730391798
-
- Family Medicine Physician
- Grand Prairie, TX
- NPI 1124036884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230681600000",
"number": "1811038029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 RANCHWAY DR",
"city": "BURLESON",
"state": "TX",
"postal_code": "760287864",
"telephone_number": "817-426-5439",
"fax_number": "972-606-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2461 ROBINSON RD",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750513852",
"telephone_number": "972-606-4858",
"fax_number": "972-606-1637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT PEAK PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2008-12-31",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-705-8558",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "660120001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "00Y947",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.