Active NPI
Carolina Physical Therapy, LLC
- Physical Therapist
- Addison, TX
National Provider Identifier
1891089249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1172932
- Legal business name
- CAROLINA PHYSICAL THERAPY, LLC
- Doing business as
- Body Mechanix Rehabilitation
- Practice address
- 16633 Dallas Pkwy
Suite 150
Addison, TX 75001-6816 - Phone
- (972) 380-0000
- Fax
- (972) 380-0042
- NPI assigned
- Jun 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jimmie Flythe Jr., PT
- Title
- Director
- Phone
- (940) 230-5894
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1172932 | TX | Primary |
Addresses
Primary practice location
16633 Dallas Pkwy
Suite 150
Addison, TX 75001-6816
Mailing address
6101 Long Prairie Rd
Suite 145
Flower Mound, TX 75028-6221
Phone (940) 230-5899
Other names 1
- Body Mechanix Rehabilitation
National Provider Directory
National Provider DirectoryLocations
306 E Butler Rd
Ste E
Mauldin, SC 29662
Phone (864) 286-3838
16633 Dallas Pkwy
Ste 150B
Addison, TX 75001
Phone (972) 380-0000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306972800000",
"number": "1891089249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 LONG PRAIRIE RD",
"address_2": "SUITE 145",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750286221",
"telephone_number": "940-230-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16633 DALLAS PKWY",
"address_2": "SUITE 150",
"city": "ADDISON",
"state": "TX",
"postal_code": "750016816",
"telephone_number": "972-380-0000",
"fax_number": "972-380-0042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-02",
"last_updated": "2011-06-02",
"status": "A",
"authorized_official_last_name": "FLYTHE",
"authorized_official_first_name": "JIMMIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "940-230-5894",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1172932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Body Mechanix Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.