Organization Active NPI

Core Rehab Associates, PLLC

  • Rehabilitation Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1841664596
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CORE REHAB ASSOCIATES, PLLC
Practice address
6001 Harris Pkwy
Fort Worth, TX 76132-4103
Phone
(817) 370-6350
Fax
(817) 370-6401
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Grady Carter, DO
Title
Medical Director
Phone
(817) 370-6350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

6001 Harris Pkwy
Fort Worth, TX 76132-4103

Mailing address

PO Box 34382
Fort Worth, TX 76162-4382
Phone (817) 370-6350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1841664596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34382",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761624382",
            "telephone_number": "817-370-6350",
            "fax_number": "817-370-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324103",
            "telephone_number": "817-370-6350",
            "fax_number": "817-370-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE REHAB ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-370-6350",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "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 Mar 20, 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.