Organization Active NPI

Neuroassessment Services LLC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Worth, TX
National Provider Identifier
1932516846
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
K3679 Issued in TX
Legal business name
NEUROASSESSMENT SERVICES LLC
Practice address
5601 Bridge Street
Suite 500
Ft. Worth, TX 76112
Phone
(972) 570-8200
Fax
(972) 570-8933
NPI assigned
Jul 14, 2014
Last updated
Jul 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Zachary B Heath
Title
President
Phone
(817) 797-5020

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 21788 TX
Clinical Psychologist 103TC0700X 21788 TX
Ophthalmology Physician 207W00000X J7609 TX
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X K3679 TX Primary

Addresses

Primary practice location

5601 Bridge Street
Suite 500
Ft. Worth, TX 76112

Mailing address

Pob 141866
Dallas, TX 75218
Phone (972) 570-8200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1932516846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 141866",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75218",
            "telephone_number": "972-570-8200",
            "fax_number": "972-570-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE STREET",
            "address_2": "SUITE 500",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "76112",
            "telephone_number": "972-570-8200",
            "fax_number": "972-570-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROASSESSMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-797-5020"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "21788",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21788",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J7609",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "TX",
            "license": "K3679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.