Organization Active NPI

All Pro Rehabilitation & Primary Care PLLC

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1952117251
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALL PRO REHABILITATION & PRIMARY CARE PLLC
Practice address
4444 Heritage Trace Pkwy Ste 404
Fort Worth, TX 76244-8944
Phone
(817) 741-2776
Fax
(817) 442-8637
NPI assigned
Dec 10, 2024
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Paul Marciano, DPMNPI 1558321810
Title
Partner
Phone
(817) 308-6613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Adult Medicine Physician 207QA0505X NU
Obesity Medicine (Family Medicine) Physician 207QB0002X NU
Rehabilitation Chiropractor 111NR0400X NU

Addresses

Primary practice location

4444 Heritage Trace Pkwy Ste 404
Fort Worth, TX 76244-8944

Mailing address

1940 E State Highway 114 Ste 150
Southlake, TX 76092-6526
Phone (817) 424-3668

Other practice location 1

1940 E State Highway 114 Ste 150
Southlake, TX 76092-6526
Phone (817) 424-3668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1952117251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 E STATE HIGHWAY 114 STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926526",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 HERITAGE TRACE PKWY STE 404",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448944",
            "telephone_number": "817-741-2776",
            "fax_number": "817-442-8637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 E State Highway 114 Ste 150",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926526",
            "country_code": "US",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALL PRO REHABILITATION & PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "MARCIANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "817-308-6613",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 10, 2024; 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.