Organization Active NPI

Redline Teip LLC

  • Physical Therapy Clinic/Center
  • Arlington, TX
National Provider Identifier
1992429146
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REDLINE TEIP LLC
Practice address
1120 Eden Rd Ste 104
Arlington, TX 76001-7915
Phone
(713) 591-2256
NPI assigned
Sep 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Julie Radley
Title
Member
Phone
(713) 591-2256

Specialties & licenses 1

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

Addresses

Primary practice location

1120 Eden Rd Ste 104
Arlington, TX 76001-7915

Mailing address

940 S Kimball Ave Ste 140
Southlake, TX 76092-9023
Phone (713) 591-2256

Other names 1

  • Redline Revive Doing business as

National Provider Directory

National Provider Directory

Locations

1120 Eden Rd
Ste 104
Arlington, TX 76001
Phone (713) 591-2256

940 S Kimball Ave
Ste 140
Southlake, TX 76092

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1992429146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S KIMBALL AVE STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929023",
            "telephone_number": "713-591-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 EDEN RD STE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760017915",
            "telephone_number": "713-591-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLINE TEIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "RADLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-591-2256"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redline Revive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.