NPIMap

Organization Active NPI

Richardson Spine and Sports Therapy Center LLC

  • Physical Therapy Clinic/Center
  • Richardson, TX
National Provider Identifier
1811104086
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RICHARDSON SPINE AND SPORTS THERAPY CENTER LLC
Practice address
375 Municipal Dr
Suite 108
Richardson, TX 75080-3559
Phone
(214) 575-4040
Fax
(214) 575-4041
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Mr. Curtis J Goodwin, PT
Title
Owner
Phone
(214) 575-4040

Specialties & licenses 1

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

Addresses

Primary practice location

375 Municipal Dr
Suite 108
Richardson, TX 75080-3559

Mailing address

375 Municipal Dr
Suite 108
Richardson, TX 75080-3559
Phone (214) 575-4040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1811104086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DR",
            "address_2": "SUITE 108",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803559",
            "telephone_number": "214-575-4040",
            "fax_number": "214-575-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DR",
            "address_2": "SUITE 108",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803559",
            "telephone_number": "214-575-4040",
            "fax_number": "214-575-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON SPINE AND SPORTS THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-575-4040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.