Organization Active NPI

Carolina Physical Therapy, LLC

  • Physical Therapist
  • Addison, TX
National Provider Identifier
1891089249
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1172932 Issued in TX
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

Updated by the provider on Jun 2, 2011

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.