Organization Active NPI

Firra Therapeutics, LLC

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1962550665
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1001667 Issued in TX
Legal business name
FIRRA THERAPEUTICS, LLC
Practice address
10557 Church Road
Dallas, TX 75238
Phone
(214) 348-3516
Fax
(214) 348-5727
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Mrs. Joan Crummey Firra, PT, PHD
Title
Owner
Phone
(214) 348-3516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 1001667 TX Primary

Addresses

Primary practice location

10557 Church Road
Dallas, TX 75238

Mailing address

10557 Church Rd
Dallas, TX 75238-2269
Phone (214) 348-3516

Other identifiers 2

IdentifierTypeStateIssuer
087663301MedicaidTX
824T52OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

10557 New Church Rd
Dallas, TX 75238
Phone (214) 348-3156

Practitioners & affiliated clinicians

Practitioners 2

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1962550665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10557 CHURCH RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382269",
            "telephone_number": "214-348-3516",
            "fax_number": "214-348-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10557 CHURCH ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75238",
            "telephone_number": "214-348-3516",
            "fax_number": "214-348-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRRA THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "FIRRA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "CRUMMEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-348-3516",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1001667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087663301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "824T52",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.