Organization Active NPI

Conquer Fitness and Performance LLC

  • Physical Therapy Clinic/Center
  • Frisco, TX
National Provider Identifier
1972093029
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CONQUER FITNESS AND PERFORMANCE LLC
Practice address
4681 Ohio Dr Ste 110
Frisco, TX 75035-6014
Phone
(469) 305-2598
NPI assigned
May 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
John Dougherty IV, PT, DPTNPI 1538571641
Title
Owner, Physical Therapist
Phone
(469) 305-2598

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

4681 Ohio Dr Ste 110
Frisco, TX 75035-6014

Mailing address

4681 Ohio Dr Ste 110
Frisco, TX 75035-6014
Phone (469) 305-2598

National Provider Directory

National Provider Directory

Locations

4681 Ohio Dr
Ste 110
Frisco, TX 75035
Phone (469) 305-2598

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": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1972093029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4681 OHIO DR STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356014",
            "telephone_number": "469-305-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4681 OHIO DR STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356014",
            "telephone_number": "469-305-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUER FITNESS AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "469-305-2598",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.