Axis Physical Therapy Group LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1175347 Issued in TX

Legal business name

AXIS PHYSICAL THERAPY GROUP LLC

Practice address

4341 Lindbergh Dr
Suite 200J
Addison, TX 75001-4536

Phone

(972) 774-5641

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Albert Isaac Nabors, PT

Title

Owner

Phone

(214) 207-8945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1902299209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 LINDBERGH DR",
            "address_2": "SUITE 200J",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014536",
            "telephone_number": "972-774-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 LINDBERGH DR",
            "address_2": "SUITE 200J",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014536",
            "telephone_number": "972-774-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS PHYSICAL THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "NABORS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-207-8945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1175347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.