Organization Active NPI

Return2Sports Physical Therapy

  • Physical Therapist
  • Southlake, TX
National Provider Identifier
1881988780
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1161126 Issued in TX
Legal business name
RETURN2SPORTS PHYSICAL THERAPY
Practice address
2835 Exchange Blvd
Suite 100
Southlake, TX 76092-9192
Phone
(817) 891-6048
Fax
(817) 431-8264
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Mrs. Greta Leigh McGaugh
Title
Office Administrator
Phone
(817) 891-6048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1161126 TX Primary

Addresses

Primary practice location

2835 Exchange Blvd
Suite 100
Southlake, TX 76092-9192

Mailing address

2835 Exchange Blvd
Suite 100
Southlake, TX 76092-9192
Phone (817) 891-6048

Other identifiers 1

IdentifierTypeStateIssuer
1124198627OtherTXNPI

National Provider Directory

National Provider Directory

Locations

2835 Exchange Blvd
Ste 100
Southlake, TX 76092
Phone (817) 891-6048

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1881988780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 EXCHANGE BLVD",
            "address_2": "SUITE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929192",
            "telephone_number": "817-891-6048",
            "fax_number": "817-431-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 EXCHANGE BLVD",
            "address_2": "SUITE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929192",
            "telephone_number": "817-891-6048",
            "fax_number": "817-431-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETURN2SPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "MCGAUGH",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-891-6048",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1161126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124198627",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.