Unbroken Physical Therapy and Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

UNBROKEN PHYSICAL THERAPY AND PERFORMANCE, LLC

Practice address

2014 15TH Avenue
Fort Worth, TX 76102-7610

Phone

(817) 733-7117

Fax

(817) 601-8464

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Mae Scott, PT, DPT

Title

Owner/Physical Therapist

Phone

(817) 733-7117

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Mae Yeager, PT, DPT

  • Physical Therapist
  • Dallas, TX
  • NPI 1740826411
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1902528250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 FOREST PARK BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102224",
            "telephone_number": "817-733-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 15TH AVENUE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761027610",
            "telephone_number": "817-733-7117",
            "fax_number": "817-601-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBROKEN PHYSICAL THERAPY AND PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "817-733-7117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngozi Lynda Umezurike, RN BSN
• Hailey Umosen, LCSW
• Divina Umuhoza, LPC
• Sandra Umuhoza, NP
• Unbreakable Queer Counseling PLLC
• Under the Oaks Counseling, PLLC
• Jamie Marie Underhill, NP
• Frances Christina Underwood, M.S. CCC-SLP
• Ian Underwood
• Unec Group Inc

• Physical Therapy Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.