Active NPI
Physical Therapy Dynamics, PLLC
- Orthopedic Physical Therapist
- Crowley, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan E Conrad, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopedic Physical Therapist
- Crowley, TX
- NPI 1811908411
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.