Organization Active NPI

R3 Physiotherapy

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1962022970
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
R3 PHYSIOTHERAPY
Practice address
11601 Emory TRL
Fort Worth, TX 76244-8805
Phone
(214) 726-6267
Fax
(682) 593-3599
NPI assigned
Apr 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Jason Wayne RaccaNPI 1942486519
Title
Owner
Phone
(214) 726-6267

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

11601 Emory TRL
Fort Worth, TX 76244-8805

Mailing address

11601 Emory TRL
Fort Worth, TX 76244-8805
Phone (214) 726-6267

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.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1962022970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 EMORY TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448805",
            "telephone_number": "214-726-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 EMORY TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448805",
            "telephone_number": "214-726-6267",
            "fax_number": "682-593-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R3 PHYSIOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "RACCA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-726-6267"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Apr 20, 2020; 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.