Organization Active NPI

Fort Worth Rehab Group

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1821149733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8454 Issued in TX
Legal business name
FORT WORTH REHAB GROUP
Practice address
3301 N Main St
Suite B
Fort Worth, TX 76106-4344
Phone
(817) 624-4141
Fax
(817) 624-4227
NPI assigned
Jan 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Brandi O'Banion
Title
Manager
Phone
(214) 432-0910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8454 TX Primary

Addresses

Primary practice location

3301 N Main St
Suite B
Fort Worth, TX 76106-4344

Mailing address

3523 McKinney Ave
# 246
Dallas, TX 75204-1401
Phone (214) 432-0910

National Provider Directory

National Provider Directory
Tax ID family
Americare Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3301 N Main St
Ste B
Fort Worth, TX 76106
Phone (817) 624-4141

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821149733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 MCKINNEY AVE",
            "address_2": "# 246",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041401",
            "telephone_number": "214-432-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N MAIN ST",
            "address_2": "SUITE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761064344",
            "telephone_number": "817-624-4141",
            "fax_number": "817-624-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH REHAB GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'BANION",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-432-0910",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.