NPIMap

Organization Active NPI

Core Rehabilitation

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1871043646
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1234302 Issued in TX
Legal business name
CORE REHABILITATION
Practice address
11751 Alta Vista Rd
Suite 301
Fort Worth, TX 76244-6441
Phone
(817) 337-3400
NPI assigned
Oct 5, 2016
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Noah Burton, PTA
Title
Owner
Phone
(817) 337-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1234302 TX Primary

Addresses

Primary practice location

11751 Alta Vista Rd
Suite 301
Fort Worth, TX 76244-6441

Mailing address

11751 Alta Vista Rd
Suite 301
Fort Worth, TX 76244-6441
Phone (817) 337-3400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1871043646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD",
            "address_2": "SUITE 301",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446441",
            "telephone_number": "817-337-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD",
            "address_2": "SUITE 301",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446441",
            "telephone_number": "817-337-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-337-3400",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1234302",
            "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 Oct 5, 2016; 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.