NPIMap

Organization Active NPI

Panhandle Sports Medicine Institute, PA

  • Physical Therapy Clinic/Center
  • Amarillo, TX
National Provider Identifier
1841200524
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
652790000 Issued in TX
Legal business name
PANHANDLE SPORTS MEDICINE INSTITUTE, PA
Practice address
6022 W 48TH Ave
Amarillo, TX 79109-7504
Phone
(806) 355-5244
Fax
(806) 353-6151
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Shelly Jay, PTNPI 1912996596
Title
Director
Phone
(806) 355-5244

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 652790000 TX Primary

Addresses

Primary practice location

6022 W 48TH Ave
Amarillo, TX 79109-7504

Mailing address

6022 W 48TH Ave
Amarillo, TX 79109-7504
Phone (806) 355-5244

Other identifiers 1

IdentifierTypeStateIssuer
0096KMOtherTXBCBSTX

Other names 1

  • Zach Thomas Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

6022 SW 48th Ave
Amarillo, TX 79109
Phone (806) 355-5244

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1841200524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 W 48TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791097504",
            "telephone_number": "806-355-5244",
            "fax_number": "806-353-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 W 48TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791097504",
            "telephone_number": "806-355-5244",
            "fax_number": "806-353-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE SPORTS MEDICINE INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "806-355-5244",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "652790000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0096KM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zach Thomas Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.