Organization Active NPI

Amp Movement Therapy

  • Physical Therapy Clinic/Center
  • Dallas, TX
National Provider Identifier
1992316806
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AMP MOVEMENT THERAPY
Practice address
4715 Iberia Ave Ste 200
Dallas, TX 75207-5507
Phone
(913) 645-0703
NPI assigned
Aug 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Amelia Ponchur, PT, DPT
Title
Owner, Physical Therapist
Phone
(913) 645-0703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4715 Iberia Ave Ste 200
Dallas, TX 75207-5507

Mailing address

3026 Thomas Ave Apt H
Dallas, TX 75204-3525
Phone (913) 645-0703

National Provider Directory

National Provider Directory

Locations

4715 Iberia Ave
Ste 200
Dallas, TX 75207
Phone (913) 645-0703

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1992316806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 THOMAS AVE APT H",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043525",
            "telephone_number": "913-645-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 IBERIA AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752075507",
            "telephone_number": "913-645-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMP MOVEMENT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "PONCHUR",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "913-645-0703",
        "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 Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.