Dr. Michael Flyzik DPT,Ocs,PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1082675 Issued in TX

Legal business name

DR. MICHAEL FLYZIK DPT,OCS,PC

Practice address

1621 E Southlake Blvd
Suite 300
Southlake, TX 76092-6448

Phone

(817) 416-1444

Fax

(817) 416-0060

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Flyzik, DPT,OCSNPI 1881793008

Title

Owner/Provider

Phone

(817) 416-1444

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.

• Michael P Flyzik, PT

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1881793008
  NPD (past) Authorized official

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1962689422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E SOUTHLAKE BLVD",
            "address_2": "SUITE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926448",
            "telephone_number": "817-416-1444",
            "fax_number": "817-416-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E SOUTHLAKE BLVD",
            "address_2": "SUITE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926448",
            "telephone_number": "817-416-1444",
            "fax_number": "817-416-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL FLYZIK DPT,OCS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "FLYZIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "817-416-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT,OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1082675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Ann Doster, PH.D.
• Michael W Dotti, M.D.
• Jamal Laronne Douglas, LMT CLT
• Michael Wayne Downey, D.P.M.
• Dr Ben Deheshi Orthopedics PLLC
• Dr. Pulianda & Associates
• Dra Health Services of Texas
• Joseph Dracobly, PH.D., BCBA-D, LBA
• Casey Leigh Drinnen, LPC
• DSL Tenant II LLC

• Physical Therapy Clinic/Center in Southlake, TX
• Providers in Southlake, 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 Jul 31, 2008; 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.