NPIMap

Organization Active NPI

CC Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Murphy, TX
National Provider Identifier
1831765916
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CC PHYSICAL THERAPY AND WELLNESS
Practice address
120 Shanandoah LN
Murphy, TX 75094-4258
Phone
(469) 367-9697
NPI assigned
May 31, 2021
Last updated
May 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Authorized official

Name
Dr. Carrick Colomb, DPTNPI 1972177731
Title
President
Phone
(469) 367-9697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

120 Shanandoah LN
Murphy, TX 75094-4258

Mailing address

120 Shanandoah LN
Murphy, TX 75094-4258

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622419200000",
    "number": "1831765916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SHANANDOAH LN",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SHANANDOAH LN",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944258",
            "telephone_number": "469-367-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A",
        "authorized_official_last_name": "COLOMB",
        "authorized_official_first_name": "CARRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-367-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.