Organization Active NPI

Empowered Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Dallas, TX
National Provider Identifier
1982235131
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EMPOWERED PERFORMANCE PHYSICAL THERAPY
Practice address
1201 Turtle Creek Blvd
Dallas, TX 75207-6613
Phone
(612) 470-8618
Fax
(214) 594-0034
NPI assigned
Jan 27, 2020
Last updated
Jan 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Matias Haller, DPTNPI 1255811154
Title
Physical Therapist
Phone
(214) 940-8038

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 NU Primary

Addresses

Primary practice location

1201 Turtle Creek Blvd
Dallas, TX 75207-6613

Mailing address

2112 Boll St Apt 412
Dallas, TX 75204-2805
Phone (214) 940-8038

National Provider Directory

National Provider Directory

Locations

1201 Turtle Creek Blvd
Dallas, TX 75207
Phone (612) 470-8618

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": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1982235131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BOLL ST APT 412",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042805",
            "telephone_number": "214-940-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TURTLE CREEK BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752076613",
            "telephone_number": "612-470-8618",
            "fax_number": "214-594-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "MATIAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "214-940-8038",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 27, 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.