Organization Active NPI

Physical Therapy Dynamics, PLLC

  • Orthopedic Physical Therapist
  • Crowley, TX
National Provider Identifier
1891707329
Registry record updated Feb 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
PHYSICAL THERAPY DYNAMICS, PLLC
Practice address
775 E FM 1187
Suite 4
Crowley, TX 76036
Phone
(817) 297-9670
Fax
(817) 277-5103
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2022

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

Authorized official

Name
Dr. Jonathan E Conrad, DPTNPI 1811908411
Title
Owner/Physical Therapist
Phone
(817) 297-9670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

775 E FM 1187
Suite 4
Crowley, TX 76036

Mailing address

775 E FM 1187
Crowley, TX 76036-2706
Phone (817) 297-9670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121016000171 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749386902 Receives reassigned benefits from 1 practitioner
Practice locations: Crowley, TX

National Provider Directory

National Provider Directory

Locations

775 FM 1187 E
Crowley, TX 76036
Phone (817) 297-9670

775 E FM 1187
Ste 4
Crowley, TX 76036
Phone (817) 297-9670

1012 S Crowley Rd
Ste C
Crowley, TX 76036
Phone (817) 297-9670

804 S Crowley Rd
Ste 4
Crowley, TX 76036
Phone (817) 297-9670

7148 Trail Lake Dr
Ste B
Fort Worth, TX 76123
Phone (817) 297-9670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645315200000",
    "number": "1891707329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E FM 1187",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760362706",
            "telephone_number": "817-297-9670",
            "fax_number": "817-277-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E FM 1187",
            "address_2": "SUITE 4",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "76036",
            "telephone_number": "817-297-9670",
            "fax_number": "817-277-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY DYNAMICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-02-20",
        "certification_date": "2022-02-20",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "817-297-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.